Kimberly Renee Breitenbach
Individual provider Active NPI Occupational Therapy Assistant · Osawatomie, KS
NPI 1013224666 · NPPES record last updated Sep 2, 2010
Key facts
- NPI
- 1013224666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1800701 (KS)
- Practice address
- 1615 Parker Ave
Osawatomie, KS 66064-1703 - Phone
- (913) 755-4161
- NPI assigned
- Sep 2, 2010
- 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 |
|---|---|---|---|
| 1800701 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1800701 | KS | Yes |
Addresses
Primary practice location
1615 Parker Ave
Osawatomie, KS 66064-1703
Mailing address
1615 Parker Ave
Osawatomie, KS 66064-1703
Phone (913) 755-4161
Other providers in Osawatomie, KS
- Morgan W Bailey
- Danielle Christine Banman
- Dennis E. Barden
- Milissa A Baugh
- Kyle Bisch
- Rebekah Brown
- Nicholas Bruzzese
- Kari L Burchett
- James Burnett
- Emily Busenitz
All providers in Osawatomie, KS · Occupational Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2010. 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.