Healthcare Provider Details

I. General information

NPI: 1659298677
Provider Name (Legal Business Name): LISA ANN RITCHEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 LEGENDS DR
LAWRENCE KS
66049-5800
US

IV. Provider business mailing address

4911 LEGENDS DR
LAWRENCE KS
66049-5800
US

V. Phone/Fax

Practice location:
  • Phone: 785-831-3053
  • Fax: 785-746-0132
Mailing address:
  • Phone: 785-831-3053
  • Fax: 785-746-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-00859
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: