Provider Demographics
NPI:1427570183
Name:LOPEZ, HENRY SCOTT (OTR/L)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:SCOTT
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:14154 W 156TH LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14154 W 156TH LN
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-7058
Practice Address - Country:US
Practice Address - Phone:913-940-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000153608225X00000X
KS225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist