Healthcare Provider Details

I. General information

NPI: 1932277712
Provider Name (Legal Business Name): CHRISTY LYNN NEVINS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 VICTORY LN
LIBERTY MO
64068-1920
US

IV. Provider business mailing address

706 E 18TH ST
KEARNEY MO
64060-8749
US

V. Phone/Fax

Practice location:
  • Phone: 816-736-5300
  • Fax:
Mailing address:
  • Phone: 816-916-5584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2000155790
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: