Misty Dawn Smolarkiewicz, MSOTR/L

Individual provider Active NPI Occupational Therapist · Ellis, KS

NPI 1982161139 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1982161139
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1702402 (KS)
Practice address
1101 Spruce St
Ellis, KS 67637
Phone
(785) 726-3101
NPI assigned
Feb 25, 2019
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
1702402KSMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1702402 KS Yes

Addresses

Primary practice location

1101 Spruce St
Ellis, KS 67637

Mailing address

1101 Spruce St
Ellis, KS 67637-1757
Phone (785) 726-3101

Other providers in Ellis, KS

All providers in Ellis, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.