Kalli Edelman
Individual provider Active NPI Occupational Therapy Assistant · Neosho, MO
NPI 1487489043 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1487489043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2024003009 (MO)
- Practice address
- 1105 Village Rd
Neosho, MO 64850-9076 - Phone
- (800) 381-0822
- NPI assigned
- Sep 4, 2024
- 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 |
|---|---|---|---|
| 18-01693 | KS | MD | Occupational Therapy Assistant |
| 2024003009 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-01693 | KS | |
| Occupational Therapy Assistant | 224Z00000X | 2024003009 | MO | Yes |
Addresses
Primary practice location
1105 Village Rd
Neosho, MO 64850-9076
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 381-0822
Other providers in Neosho, MO
- Sidney Douglas
- Douglass Chiropractic LLC
- Jimmie L Douglass III
- Randolf J Dunn
- Tamara Ebbinghaus
- Jacob Martin Edge
- Katrina Marie Edie
- Jamie Emery
- Zachary M Endicott
- Gerald Wayne Englund
All providers in Neosho, 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 Sep 4, 2024. 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.