Kathy J Chandler, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Buffalo, MO
NPI 1366733503 · NPPES record last updated Apr 21, 2011
Key facts
- NPI
- 1366733503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2010028092 (MO)
- Practice address
- 631 W Main St
Buffalo, MO 65622-7496 - Phone
- (417) 345-5424
- NPI assigned
- Apr 21, 2011
- 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 |
|---|---|---|---|
| 2010028092 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2010028092 | MO | Yes |
Addresses
Primary practice location
631 W Main St
Buffalo, MO 65622-7496
Mailing address
5253 S Morning Glory LN
Battlefield, MO 65619-8217
Phone (417) 844-7962
Other providers in Buffalo, MO
- Buffalo Prairie Opco, LLC
- Buffalo Prairie Operations Management LLC
- Buffalo Professional Pharmacy Inc
- Buffalo SNF Operations, LLC
- Scott M Burks
- Citizens Memorial Health Care Foundation
- Citizens Memorial Health Care Foundation
- Citizens Memorial Healthcare
- Citizens Memorial Hospital District
- Nina Jane Coffey
All providers in Buffalo, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2011. 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.