Individual
KATHERINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11827 W 112TH ST, OVERLAND PARK, KS 66210-2726
(913) 296-7636
Mailing address
731 LINDA LN, BONNER SPRINGS, KS 66012-1811
(913) 271-3230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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