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NPI Code Detail

MEDICARE: MAE IAN REGIS MORLEY OTR

MEDICARE: MAE IAN REGIS MORLEY 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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1922216951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAE IAN REGIS MORLEY OTR
Provider Business Mailing Address
First Line : 7721 W 97TH TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66212-2337
Country : US
Telephone Number : 417-793-3824
Fax Number :
Provider Business Practice Location Address
First Line : 10425 CHESTNUT DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-3201
Country : US
Telephone Number : 417-793-3824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 06/23/2020

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Directions to “ MAE IAN REGIS MORLEY OTR” Practice Location

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