Provider Demographics
NPI:1245893338
Name:O'NEIL, ABBEY M (OTR/L)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:M
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:M
Other - Last Name:HOLTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:6917 SLATER ST
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1144
Mailing Address - Country:US
Mailing Address - Phone:785-608-6850
Mailing Address - Fax:
Practice Address - Street 1:3101 MAIN ST.
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1184
Practice Address - Country:US
Practice Address - Phone:816-841-2284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016018783225X00000X
KS1703492225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist