Healthcare Provider Details

I. General information

NPI: 1033008776
Provider Name (Legal Business Name): ZOE RENEE NASON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 BALTIMORE AVE
KANSAS CITY MO
64108-3403
US

IV. Provider business mailing address

245 TERRACE TRL W
LAKE QUIVIRA KS
66217-8529
US

V. Phone/Fax

Practice location:
  • Phone: 816-751-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2024014928
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: