Individual
MRS. KRISTY MARIE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12714 S RENE ST, OLATHE, KS 66062-4938
(913) 393-2080
Mailing address
12714 S RENE ST, OLATHE, KS 66062-4938
(913) 393-2080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702147
KS
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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