Individual
MRS. STACY MARIE REICHMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
Mailing address
7819 S 97TH CIR, LA VISTA, NE 68128-7074
(402) 339-2533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857
OCCUPATIONAL THERAPY
NE
Enumeration date
06/03/2009
Last updated
06/03/2009
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