Provider Demographics
NPI:1144751330
Name:WELL BELLIES & BABIES, LLC
Entity Type:Organization
Organization Name:WELL BELLIES & BABIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:NOVACEK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:913-231-8581
Mailing Address - Street 1:18905 W 175TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-8933
Mailing Address - Country:US
Mailing Address - Phone:913-231-8581
Mailing Address - Fax:
Practice Address - Street 1:18905 W 175TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-8933
Practice Address - Country:US
Practice Address - Phone:913-231-8581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03059261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities