Healthcare Provider Details

I. General information

NPI: 1740101914
Provider Name (Legal Business Name): CLAIRE CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 FARLEY ST STE 130
OVERLAND PARK KS
66210-1418
US

IV. Provider business mailing address

1591 W MULBERRY ST
OLATHE KS
66061-2572
US

V. Phone/Fax

Practice location:
  • Phone: 913-681-0606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-08213
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: