Healthcare Provider Details

I. General information

NPI: 1457986655
Provider Name (Legal Business Name): JOURNEY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 03/08/2020
Certification Date: 03/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13401 184TH ST
LINWOOD KS
66052-4604
US

IV. Provider business mailing address

PO BOX 860365
SHAWNEE KS
66286-0365
US

V. Phone/Fax

Practice location:
  • Phone: 913-832-7925
  • Fax: 913-723-3422
Mailing address:
  • Phone: 913-832-7925
  • Fax: 913-723-3422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA E REISS
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: MA CCC-SLP
Phone: 913-832-7925