Holly Bennett

Individual provider Active NPI Occupational Therapist · Kansas City, KS

NPI 1922258607 · NPPES record last updated Jun 21, 2012

Key facts

NPI
1922258607
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-02543 (KS)
Practice address
10940 Parallel Pkwy
Kansas City, KS 66109-2209
Phone
(913) 378-0782
NPI assigned
Sep 30, 2008
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
17-02543KSMDOccupational Therapist
T01989KSMDOccupational Therapist
2008027863MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X T01989 KS
Occupational Therapist 225X00000X 2008027863 MO
Occupational Therapist 225X00000X 17-02543 KS Yes

Addresses

Primary practice location

10940 Parallel Pkwy
Kansas City, KS 66109-2209

Mailing address

7632 Floyd St
Overland Park, KS 66204-2912

Other providers in Kansas City, KS

All providers in Kansas City, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.