Organization
CEREBRAL PALSY RESEARCH FOUNDATION OF KANSAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA BROCKMEYER (CFO)
(316) 688-1888
Entity
Organization
Contact information
Practice address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 651-5219
Mailing address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 651-5219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004947
COMMON PAY NUMBER
KS
05
—
100008150A
—
KS
05
—
100008150B
—
KS
05
—
100008150D
—
KS
05
—
100028820A
—
KS
Enumeration date
02/21/2007
Last updated
09/27/2018
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