Healthcare Provider Details

I. General information

NPI: 1215676010
Provider Name (Legal Business Name): ELAINA GRACE SCHNARR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5863 NW 72ND ST
KANSAS CITY MO
64151-1483
US

IV. Provider business mailing address

5863 NW 72ND ST
KANSAS CITY MO
64151-1483
US

V. Phone/Fax

Practice location:
  • Phone: 816-984-8282
  • Fax:
Mailing address:
  • Phone: 816-984-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-04597
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: