Healthcare Provider Details

I. General information

NPI: 1164084703
Provider Name (Legal Business Name): ERIN KLOSS OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 HOUSTON ST STE E
MANHATTAN KS
66502-6171
US

IV. Provider business mailing address

311 HOUSTON ST STE E
MANHATTAN KS
66502-6171
US

V. Phone/Fax

Practice location:
  • Phone: 785-236-8344
  • Fax:
Mailing address:
  • Phone: 785-236-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-03724
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: