MEDICARE: MIDWEST HAND THERAPY LLC

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	225XH1200X	Hand Occupational Therapist	2000173669	MO
2	225XH1200X	Hand Occupational Therapist	2000160749	MO

General Provider Information

NPI Number	:	1346616232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST HAND THERAPY LLC

Provider Business Mailing Address
First Line	:	8002 N OAK TRFY
Second Line	:	SUITE 112
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-1268
Country	:	US
Telephone Number	:	816-572-3994
Fax Number	:	816-569-5298

Provider Business Practice Location Address
First Line	:	8002 N OAK TRFY
Second Line	:	SUITE 112
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-1268
Country	:	US
Telephone Number	:	816-572-3994
Fax Number	:	816-569-5298

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	AMY L PAULSON
Credential	:	OTR, CHT
Telephone Number	:	816-572-3994

Provider Enumeration Date	:	08/14/2015
Last Update Date	:	09/25/2015

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Directions to “MIDWEST HAND THERAPY LLC ” Practice Location

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