Provider Demographics
NPI:1295568871
Name:BEACH, HOPE RILEIGH (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:RILEIGH
Last Name:BEACH
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 E BEACH RD
Mailing Address - Street 2:
Mailing Address - City:PIERCEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67868-9503
Mailing Address - Country:US
Mailing Address - Phone:620-272-4025
Mailing Address - Fax:
Practice Address - Street 1:401 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5679
Practice Address - Country:US
Practice Address - Phone:620-272-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-04349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist