Healthcare Provider Details

I. General information

NPI: 1881775559
Provider Name (Legal Business Name): JODI LAPCEWICH GAMIS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3380
  • Fax: 816-346-1372
Mailing address:
  • Phone: 816-234-3380
  • Fax: 816-346-1372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number17-00661
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number000321
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: