Individual
KAYLYN JO SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2160 ZINNIA LN, LIBERAL, KS 67901-2042
(620) 624-3831
Mailing address
650 CR B, MINNEOLA, KS 67865-6550
(620) 255-0992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01494
KS
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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