Individual
MRS. CHARISSA ANN AHLSTEDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1015 S MAIN ST, MCPHERSON, KS 67460-5735
(620) 241-1825
(620) 241-7135
Mailing address
2342 14TH AVE, LINDSBORG, KS 67456-5071
(785) 227-8828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701788
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013626
BCBS OF KS
KS
Enumeration date
07/07/2005
Last updated
07/08/2007
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