Provider Demographics
NPI:1205336278
Name:ROMERO, ARTIE LEE (OTA)
Entity type:Individual
Prefix:MS
First Name:ARTIE
Middle Name:LEE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 S CRESTONE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6652
Mailing Address - Country:US
Mailing Address - Phone:913-396-2523
Mailing Address - Fax:
Practice Address - Street 1:5500 W 123RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3193
Practice Address - Country:US
Practice Address - Phone:913-317-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00355224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant