Healthcare Provider Details

I. General information

NPI: 1104741446
Provider Name (Legal Business Name): CHRISTINE SCHREPEL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 RANCH WAY
LAWRENCE KS
66047-3324
US

IV. Provider business mailing address

2308 RANCH WAY
LAWRENCE KS
66047-3324
US

V. Phone/Fax

Practice location:
  • Phone: 913-306-6644
  • Fax:
Mailing address:
  • Phone: 913-306-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-03615
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: