Individual
KELLY TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2706 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
(816) 554-1379
Mailing address
2412 SW RIVER TRAIL RD, LEES SUMMIT, MO 64082-7811
(816) 446-9018
(816) 554-1379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019005336
MO
Other
Enumeration date
03/03/2019
Last updated
01/15/2024
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