Healthcare Provider Details

I. General information

NPI: 1770103269
Provider Name (Legal Business Name): ALEKSANDRA KEELING OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEKSANDRA KOSTIC

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 MONROVIA ST
LENEXA KS
66215-2895
US

IV. Provider business mailing address

1412 S SHERIDAN BRIDGE CIR
OLATHE KS
66062-5703
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-3531
  • Fax:
Mailing address:
  • Phone: 913-575-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberT-06526
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: