Individual
CASEY BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(314) 550-3703
Mailing address
6701 W 76TH TER, OVERLAND PARK, KS 66204-3054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
KS
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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