Provider Demographics
NPI:1619861135
Name:TOWNSEND, KAITLYN MARISSA (DPT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:MARISSA
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7349 QUIVIRA RD APT 3314
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3728
Mailing Address - Country:US
Mailing Address - Phone:785-728-7343
Mailing Address - Fax:
Practice Address - Street 1:10777 NALL AVE STE 320
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1355
Practice Address - Country:US
Practice Address - Phone:913-708-8448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07889225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist