Renee Suppes
Individual provider Active NPI Occupational Therapist · Saint John, KS
NPI 1013119684 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013119684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 18-00546 (KS)
- Practice address
- 402 N Santa Fe St
Saint John, KS 67576-1800 - Phone
- (615) 896-6400
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-00546 | KS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18-00546 | KS | Yes |
Addresses
Primary practice location
402 N Santa Fe St
Saint John, KS 67576-1800
Mailing address
2400 Cheyenne Dr
Great Bend, KS 67530-2437
Phone (620) 791-8677
Other providers in Saint John, KS
- Karen M Norris
- Joseph Orley Rosenberg
- St. John - Hudson Usd 350
- Stafford County Drug
- Stafford County Drug
All providers in Saint John, KS · Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.