Healthcare Provider Details

I. General information

NPI: 1073570867
Provider Name (Legal Business Name): JANELLE LEIGH LEMONS OT/ CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OLATHE
KANSAS CITY KS
66160-9302
US

IV. Provider business mailing address

2000 OLATHE
KANSAS CITY KS
66160-8505
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-3128
  • Fax: 913-588-2277
Mailing address:
  • Phone: 913-588-3128
  • Fax: 913-588-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number9611000040
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2005021445
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1700646
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: