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NPI Code Detail

MEDICARE: ALISSA SUCKIEL

MEDICARE: ALISSA SUCKIEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2011020631MO

General Provider Information

NPI Number : 1144619354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA SUCKIEL
Provider Business Mailing Address
First Line : 9731 W 115TH TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10425 CHESTNUT DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-3201
Country : US
Telephone Number : 816-763-4777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 01/12/2015

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Directions to “ ALISSA SUCKIEL ” Practice Location

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