MEDICARE: SONYA KAY LAMATSCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	18-00398	KS

General Provider Information

NPI Number	:	1861179517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA KAY LAMATSCH

Provider Business Mailing Address
First Line	:	1080 NE 190 RD
Second Line	:
City	:	CLAFLIN
State	:	KS
Zip	:	67525-9197
Country	:	US
Telephone Number	:	620-617-8837
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 NE 190 RD
Second Line	:
City	:	CLAFLIN
State	:	KS
Zip	:	67525-9197
Country	:	US
Telephone Number	:	620-617-8837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	07/03/2023

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