NPI 1558730564

Stacy Waters, COTAL

Practitioner Occupational Therapy Assistant Dodge City, KS

Practice location

Address: 200 Campus Dr, Dodge City, KS 67801-2760
Phone: (620) 225-1928
Fax: (620) 408-9058

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 18-01135 (KS)

Other Occupational Therapy Assistant providers in Kansas →

Registry record

NPI: 1558730564
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2015
Record last updated: 20 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.