Provider Demographics
NPI:1376675967
Name:GROWNEY, JAMI LYNNETTE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:LYNNETTE
Last Name:GROWNEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:JAMI
Other - Middle Name:LYNNETTE
Other - Last Name:LUTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:17645 W 113TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5541
Mailing Address - Country:US
Mailing Address - Phone:913-492-4841
Mailing Address - Fax:
Practice Address - Street 1:17645 W 113TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5541
Practice Address - Country:US
Practice Address - Phone:913-492-4841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00833225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics