Individual
AMY THERESE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12351 W 96TH TER STE 203, LENEXA, KS 66215-4410
(913) 963-2514
Mailing address
13249 FALMOUTH ST, LEAWOOD, KS 66209-1906
(913) 963-2514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011017391
MO
Other
Enumeration date
05/21/2013
Last updated
02/03/2026
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