| Michele Craft Therapy Services, Llc | |
|
10100 W 87th St Ste 207 Overland Park KS 66212-4628 | |
| (816) 260-6607 | |
| Not Available |
| Full Name | Michele Craft Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10100 W 87th St Ste 207, Overland Park, Kansas |
| Authorized Official Name and Position | Michele D Burkett (THERAPIST) |
| Authorized Official Contact | 8162606607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Craft Therapy Services, Llc 10100 W 87th St Ste 207 Overland Park KS 66212-4628 Ph: (816) 260-6607 | Michele Craft Therapy Services, Llc 10100 W 87th St Ste 207 Overland Park KS 66212-4628 Ph: (816) 260-6607 |
| NPI Number | 1487986667 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 10/15/2013 |
| Medicare PECOS PAC ID | 5698805729 |
|---|---|
| Medicare Enrollment ID | O20100616000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487986667 | NPI | - | NPPES |
| 200428130D | Medicaid | KS | |
| 200428130A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1791 (Kansas) | Primary |
| Provider Name | Michele D Burkett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912986076 PECOS PAC ID: 5890842025 Enrollment ID: I20090406000089 |
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