Healthcare Provider Details

I. General information

NPI: 1649183781
Provider Name (Legal Business Name): MICHELLE QUINN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 SW 33RD ST
TOPEKA KS
66614-4635
US

IV. Provider business mailing address

6550 SW VALENCIA RD
AUBURN KS
66402-9568
US

V. Phone/Fax

Practice location:
  • Phone: 785-608-7197
  • Fax:
Mailing address:
  • Phone: 785-608-7197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: