Healthcare Provider Details

I. General information

NPI: 1437073269
Provider Name (Legal Business Name): KRISTI JO TEAL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7445 SW 29TH ST
TOPEKA KS
66614-4700
US

IV. Provider business mailing address

4629 E 173RD ST
OVERBROOK KS
66524-9122
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-4500
  • Fax:
Mailing address:
  • Phone: 785-817-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number17-02065
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: