Ashlyn Michele Stipp, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Humboldt, KS
NPI 1497401558 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1497401558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-01805 (KS)
- Practice address
- 1165 Connecticut Rd
Humboldt, KS 66748-2239 - Phone
- (620) 212-5539
- NPI assigned
- Feb 28, 2022
- 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 |
|---|---|---|---|
| 18-01805 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-01805 | KS | Yes |
Addresses
Primary practice location
1165 Connecticut Rd
Humboldt, KS 66748-2239
Mailing address
1165 Connecticut Rd
Humboldt, KS 66748-2239
Phone (620) 212-5539
Other providers in Humboldt, KS
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Jordan Stirewalt
- Strive Physical Therapy LLC
- The Family Physicians PA
- Unified School District #258
- Heather Lynnette Webber
All providers in Humboldt, 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 Feb 28, 2022. 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.