Healthcare Provider Details

I. General information

NPI: 1104240621
Provider Name (Legal Business Name): KRISTEN OZBUN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 NE NAPOLEON
BLUE SPRINGS MO
64014-5403
US

IV. Provider business mailing address

2311 NE 3RD ST
BLUE SPRINGS MO
64014-1303
US

V. Phone/Fax

Practice location:
  • Phone: 316-258-8990
  • Fax:
Mailing address:
  • Phone: 316-258-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: