Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO DE JESUS CARRASCO
Active Sole ProprietorANTONIO DE JESUS CARRASCO is a Occupational Therapist healthcare provider located in GREAT BEND, Kansas. NPI 1265104632 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GREAT BEND, KS
Registration Details
- NPI Number
- 1265104632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2021 (4.8928662797076 yrs)
- Last Updated
- Oct 4, 2021
- License
-
14-03867 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1818 BAKER AVEGREAT BEND, KS, 675302726Browse KS providers · Browse ZIP 67530
- Phone
- 6206173259
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GREAT BEND, KS
| Name | Credential | NPI |
|---|---|---|
| MRS. JESSICA A POE | PTA | 1326237983 |
| SHAWN M BRADY | PTA | 1598944563 |
| DIANE ERB | PTA | 1619283728 |
| BONNY SCHARTZ | — | 1083920110 |
| CHERYL RALSTON | PTA | 1528374634 |
| MR. DAN SPENCER CRITES | CPTA | 1437465549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.