Individual
MADELYN SARA WILTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15630 PINEHURST DR STE 1, BASEHOR, KS 66007-8238
(913) 728-2065
Mailing address
9507 N KENWOOD AVE, KANSAS CITY, MO 64155-3315
(952) 334-0336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04584
KS
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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