Healthcare Provider Details

I. General information

NPI: 1154054369
Provider Name (Legal Business Name): MRS. NATASHA COLLETTE BELCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 W 64TH ST STE 200
SHAWNEE KS
66203-3571
US

IV. Provider business mailing address

10820 W 64TH ST STE 200
SHAWNEE KS
66203-3571
US

V. Phone/Fax

Practice location:
  • Phone: 913-486-1190
  • Fax: 913-300-9624
Mailing address:
  • Phone: 913-486-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC54108
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: