Provider Demographics
NPI:1922216951
Name:MORLEY, MAE IAN REGIS (OTR)
Entity Type:Individual
Prefix:
First Name:MAE IAN
Middle Name:REGIS
Last Name:MORLEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MAE IAN
Other - Middle Name:TALLO
Other - Last Name:REGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:7721 W 97TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2337
Mailing Address - Country:US
Mailing Address - Phone:417-793-3824
Mailing Address - Fax:
Practice Address - Street 1:10425 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-3201
Practice Address - Country:US
Practice Address - Phone:417-793-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty