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NPI Code Detail

MEDICARE: MRS. DAWN MARIE HENTSCHKE OT

MEDICARE: MRS. DAWN MARIE HENTSCHKE OT
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
1225XH1200XHand Occupational Therapist2000173669MO
2225XH1200XHand Occupational Therapist17-01629KS

General Provider Information

NPI Number : 1881844637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN MARIE HENTSCHKE OT
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 9760 N ASH AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64157-9742
Country : US
Telephone Number : 816-792-0803
Fax Number : 816-792-0776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 11/20/2015

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Directions to “ MRS. DAWN MARIE HENTSCHKE OT” Practice Location

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