Provider Demographics
NPI:1598358889
Name:HORCHEM, JANAE (OTR)
Entity Type:Individual
Prefix:
First Name:JANAE
Middle Name:
Last Name:HORCHEM
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 1:13201 HARDY ST APT 14201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-7815
Mailing Address - Country:US
Mailing Address - Phone:785-410-8975
Mailing Address - Fax:
Practice Address - Street 1:22000 PRAIRIE STAR PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-7901
Practice Address - Country:US
Practice Address - Phone:913-839-4097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020030482225X00000X
KS17-03797225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist