Provider Demographics
NPI:1669658522
Name:LITNEY, THOMAS JAMES (OTR/L)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:LITNEY
Suffix:
Gender:M
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 1:4369 DAVIS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-7943
Mailing Address - Country:US
Mailing Address - Phone:785-762-6725
Mailing Address - Fax:
Practice Address - Street 1:4369 DAVIS CREEK RD
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-7943
Practice Address - Country:US
Practice Address - Phone:785-762-6725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01368171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider