Provider Demographics
NPI:1639440191
Name:KAPELS, LANETTE S (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LANETTE
Middle Name:S
Last Name:KAPELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11506 W CHARTWELL CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-2045
Mailing Address - Country:US
Mailing Address - Phone:316-773-2331
Mailing Address - Fax:
Practice Address - Street 1:11506 W CHARTWELL CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-2045
Practice Address - Country:US
Practice Address - Phone:316-773-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-15
Last Update Date:2012-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01623225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation