Malissa Shull in Blue Springs - Occupational Therapist
Malissa Shull - NPI 1255463105
Malissa Shull is a Occupational Therapist in Blue Springs, Missouri. Malissa Shull practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Malissa Shull is 1255463105. The last update date is 2007-07-09.
Malissa Shull's current location address is 304 Se Sunnyside School Cir, Blue Springs, Missouri. You can contact this provider via phone number 8162203900 and fax number 8162200877. The mailing address for Malissa Shull is 304 Se Sunnyside School Cir, Blue Springs, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malissa Shull |
|---|---|
| Address | 304 Se Sunnyside School Cir, Blue Springs, Missouri |
| Phone Number | 8162203900 |
| Fax Number | 8162200877 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1255463105 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 304 Se Sunnyside School Cir |
|---|---|
| City | Blue Springs |
| State | Missouri (MO) |
| Post Code | 640143679 |
| Phone Number | 8162203900 |
| Fax Number | 8162200877 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2006012395 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37008018 | MO | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Malissa Shull by the Centers for Medicare & Medicaid Services?
The Malissa Shull has been issued the NPI (National Provider Identifier) 1255463105. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Malissa Shull is geographically located?
The Malissa Shull is physically situated at the following location: 304 Se Sunnyside School Cir, Blue Springs, MO, 640143679.
What is Malissa Shull's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Malissa Shull is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Malissa Shull receive the assignment of its 1255463105 from the Centers for Medicare & Medicaid Services?
The Malissa Shull was issued its 1255463105 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information related to Malissa Shull most recently updated or refreshed?
The details pertaining to the Malissa Shull, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.