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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE MARCUS WILSON

Active Sole Proprietor

SHANE MARCUS WILSON is a Occupational Therapist healthcare provider located in OVERLAND PARK, Kansas. NPI 1902440035 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · OVERLAND PARK, KS

Registration Details

NPI Number
1902440035
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2019 (6.7568894210963 yrs)
Last Updated
Nov 1, 2019
License
14-03105 (KS)
Sole Proprietor
Yes

Practice Information

Address
10600 MASTIN ST
OVERLAND PARK, KS, 662125723
Browse KS providers · Browse ZIP 66212
Phone
9136810606
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in OVERLAND PARK, KS

Name Credential NPI
DEBORAH S SAWYER R.P.T. 1801884473
DARREL D MILLS C.P.T.A. 1528056199
CARLA LUFFMAN C.P.T.A 1245228816
JOLYNN R SMITH PTA/ATC 1487688354
MICHAEL TRENKAMP 1457454589
MS. CELESTE ANN MCBRIDE PTA 1346381316
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.