Individual
MELISSA LYNN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20911 W 153RD ST, OLATHE, KS 66061-6219
(913) 397-2900
Mailing address
34611 WOODLAND RD, PAOLA, KS 66071-6291
(913) 594-2430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01779
KS
224Z00000X
Occupational Therapy Assistant
T-05620
KS
Other
Enumeration date
08/05/2021
Last updated
08/27/2021
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