Healthcare Provider Details

I. General information

NPI: 1104773985
Provider Name (Legal Business Name): WONDERING WAYS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18039 37TH ST
MC LOUTH KS
66054-4148
US

IV. Provider business mailing address

18039 37TH ST
MC LOUTH KS
66054-4148
US

V. Phone/Fax

Practice location:
  • Phone: 913-982-9297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAYLEN FLETCHER
Title or Position: OWNER
Credential:
Phone: 423-310-9041