MEDICARE: MRS. KAYTLIN HOELTING OTR/L

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
1	225X00000X	Occupational Therapist	2018025364	MO
2	225X00000X	Occupational Therapist	17-03431	KS

General Provider Information

NPI Number	:	1164042735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAYTLIN HOELTING OTR/L

Provider Business Mailing Address
First Line	:	5507 W 99TH TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-2957
Country	:	US
Telephone Number	:	785-320-0542
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 N 59TH ST STE 114
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66104-2821
Country	:	US
Telephone Number	:	785-320-0542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	04/23/2020

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