Provider Demographics
NPI:1053502138
Name:NEWMAN-CONNETT, GERI ANNE (OTR)
Entity Type:Individual
Prefix:
First Name:GERI
Middle Name:ANNE
Last Name:NEWMAN-CONNETT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WAKARUSA DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3830
Mailing Address - Country:US
Mailing Address - Phone:785-842-3444
Mailing Address - Fax:785-842-3410
Practice Address - Street 1:1305 WAKARUSA DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3830
Practice Address - Country:US
Practice Address - Phone:785-842-3444
Practice Address - Fax:785-842-3410
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1700739225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist