Healthcare Provider Details

I. General information

NPI: 1407924988
Provider Name (Legal Business Name): THERAPEUTIC LIVING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14188 W 150TH CT
OLATHE KS
66062-3367
US

IV. Provider business mailing address

14188 W 150TH CT
OLATHE KS
66062-3367
US

V. Phone/Fax

Practice location:
  • Phone: 913-829-7775
  • Fax: 913-829-7765
Mailing address:
  • Phone: 913-829-7775
  • Fax: 913-829-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE GLOVER
Title or Position: PRESIDENT
Credential: OTR
Phone: 913-829-7775