MEDICARE: AMY E TAYLOR OTR

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	1702107	KS
2	225X00000X	Occupational Therapist	2004015596	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2004015596	OTHER	MO	STATE LICENSE
2	1702107	OTHER	KS	STATE LICENSE

General Provider Information

NPI Number	:	1487833273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E TAYLOR OTR

Provider Business Mailing Address
First Line	:	6036 ROSEWOOD ST
Second Line	:
City	:	MISSION
State	:	KS
Zip	:	66205-3055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 STATE LINE RD
Second Line	:	STE 333
City	:	LEAWOOD
State	:	KS
Zip	:	66206-1941
Country	:	US
Telephone Number	:	913-626-2868
Fax Number	:	913-754-0365

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	08/22/2008

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Directions to “ AMY E TAYLOR OTR” Practice Location

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