Provider Demographics
NPI:1114221744
Name:BOXBERGER, KATHARINE PAIGE
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:PAIGE
Last Name:BOXBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15665 S APACHE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6336
Mailing Address - Country:US
Mailing Address - Phone:913-768-8894
Mailing Address - Fax:
Practice Address - Street 1:15665 S APACHE ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6336
Practice Address - Country:US
Practice Address - Phone:913-768-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01058225X00000X
MO004647225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist