Joab Wesley Barr, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Chanute, KS

NPI 1023715554 · NPPES record last updated Feb 15, 2023

Key facts

NPI
1023715554
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-01861 (KS)
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
NPI assigned
Feb 15, 2023
Sex
Male
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

LicenseStateTypeSpecialty
18-01861KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01861 KS Yes

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

255 600TH St
Humboldt, KS 66748-1382
Phone (620) 212-1986

Other providers in Chanute, KS

All providers in Chanute, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.