Provider Demographics
NPI:1578608816
Name:TAYLOR, JANICE K (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:K
Last Name:TAYLOR
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 1:7571 BELL RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66217-3016
Mailing Address - Country:US
Mailing Address - Phone:913-268-6795
Mailing Address - Fax:
Practice Address - Street 1:11501 GRANADA LN
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1454
Practice Address - Country:US
Practice Address - Phone:913-321-8765
Practice Address - Fax:913-754-1937
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00313225XH1200X
MO001852225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS013501OtherBLUE CROSS BLUE SHIELD
MO20024017OtherBLUE CROSS BLUE SHIELD KC