Healthcare Provider Details

I. General information

NPI: 1972973683
Provider Name (Legal Business Name): OLATHE HEALTH PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20333 W 151ST ST
OLATHE KS
66061-5350
US

IV. Provider business mailing address

20333 W 151ST ST
OLATHE KS
66061-5350
US

V. Phone/Fax

Practice location:
  • Phone: 913-791-4461
  • Fax: 913-324-8656
Mailing address:
  • Phone: 913-791-4461
  • Fax: 913-324-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIERNEY L. GRASSER
Title or Position: SR. VP/CHIEF FINANCIAL OFFICER
Credential:
Phone: 913-791-4461