Provider Demographics
NPI:1619390747
Name:STOTTS, CHELSIE LYNN (COTA/L)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:LYNN
Last Name:STOTTS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:LYNN
Other - Last Name:STONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:16220 ASH CIR
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-7816
Mailing Address - Country:US
Mailing Address - Phone:816-835-2301
Mailing Address - Fax:
Practice Address - Street 1:7105 MISSION RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3077
Practice Address - Country:US
Practice Address - Phone:913-262-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013037869224Z00000X
KS18-00999224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant