MEDICARE: HSUAN-MIN HUNG 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	2024006738	MO

General Provider Information

NPI Number	:	1548026651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HSUAN-MIN HUNG OTR

Provider Business Mailing Address
First Line	:	1308 NW HIDDEN RIDGE CIR
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-2717
Country	:	US
Telephone Number	:	310-498-4667
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 SOUTH MO 291 HIGHWAY
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057
Country	:	US
Telephone Number	:	816-373-9328
Fax Number	:

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

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	01/21/2026

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