Brooke McKinley Lachenmayr

Individual provider Active NPI Occupational Therapy Assistant · Kechi, KS

NPI 1992444525 · NPPES record last updated Jun 1, 2022

Key facts

NPI
1992444525
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-01747 (KS)
Practice address
5903 N Woodlawn St
Kechi, KS 67067-9062
Phone
(316) 285-3814
NPI assigned
Jun 1, 2022
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

LicenseStateTypeSpecialty
18-01747KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01747 KS Yes

Addresses

Primary practice location

5903 N Woodlawn St
Kechi, KS 67067-9062

Mailing address

5903 N Woodlawn St
Kechi, KS 67067-9062
Phone (316) 285-3814

Other providers in Kechi, KS

All providers in Kechi, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.