Kristin Marie Wertz, O.T.R.
Individual provider Active NPI Pediatric Occupational Therapist · Louisburg, KS
NPI 1659585602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659585602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 17-00608 (KS)
- Practice address
- 25595 Travis Circle
Louisburg, KS 66053-6473 - Phone
- (913) 764-8540
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 17-00608 | KS | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 17-00608 | KS | Yes |
Addresses
Primary practice location
25595 Travis Circle
Louisburg, KS 66053-6473
Mailing address
25595 Travis Circle
Louisburg, KS 66053-6473
Phone (913) 764-8540
Other providers in Louisburg, KS
All providers in Louisburg, KS · Pediatric Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.