Organization
THERAPY ESSENTIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN HAGEMAN (PRESIDENT/ OCCUPATIONAL THERAPIST)
(620) 491-0525
Entity
Organization
Contact information
Practice address
1020 MAIN ST, KIOWA, KS 67070-1421
(620) 491-0525
Mailing address
13241 SW 80 ST, NASHVILLE, KS 67112-8316
(620) 491-0525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700498581
—
KS
Enumeration date
12/11/2023
Last updated
01/08/2025
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