Ashlen Richelle Angelo, MOT, OTR/L

Individual provider Active NPI Occupational Therapist · Merriam, KS

NPI 1467723536 · NPPES record last updated Jan 22, 2012

Key facts

NPI
1467723536
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-02775 (KS)
Practice address
6700 Antioch Rd
Ste 120
Merriam, KS 66204-1497
Phone
(888) 652-9225
NPI assigned
Jan 22, 2012
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

LicenseStateTypeSpecialty
17-02775KSMDOccupational Therapist
2011025661MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02775 KS Yes
Occupational Therapist 225X00000X 2011025661 MO

Addresses

Primary practice location

6700 Antioch Rd
Ste 120
Merriam, KS 66204-1497

Mailing address

6700 Antioch Rd
Ste 120
Merriam, KS 66204-1497

Other providers in Merriam, KS

All providers in Merriam, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.