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NPI Code Detail

MEDICARE: MRS. AUDREY ANN SIEBUHR O.T.R.

MEDICARE: MRS. AUDREY ANN SIEBUHR O.T.R.
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
1225X00000XOccupational Therapist1700730KS

General Provider Information

NPI Number : 1518144500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AUDREY ANN SIEBUHR O.T.R.
Provider Business Mailing Address
First Line : 215 N. LAMAR ST.
Second Line :
City : HAYSVILLE
State : KS
Zip : 67060-1266
Country : US
Telephone Number : 316-524-3211
Fax Number :
Provider Business Practice Location Address
First Line : 215 N LAMAR AVE
Second Line :
City : HAYSVILLE
State : KS
Zip : 67060-1266
Country : US
Telephone Number : 316-524-3211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/22/2008

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