Provider Demographics
NPI:1770614562
Name:VALARIE MCNEELY
Entity type:Organization
Organization Name:VALARIE MCNEELY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCNEELY
Authorized Official - Suffix:
Authorized Official - Credentials:CPTA
Authorized Official - Phone:913-825-1931
Mailing Address - Street 1:5822 WOODSTOCK ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66218-8400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5822 WOODSTOCK ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66218-8400
Practice Address - Country:US
Practice Address - Phone:913-825-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-01377282E00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282E00000XHospitalsLong Term Care Hospital
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility