Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

417 Pediatric Therapy

Organization Occupational Therapist · NPI 1366106601

417 Pediatric Therapy is an Occupational Therapist in Carl Junction, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

420 Ruby Rd
Carl Junction, MO 64834-8449
Phone: (417) 438-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1366106601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Shallenburger — Occupational Therapist · (417) 438-2244
NPI enumeratedOctober 22, 2021
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021
Mailing address420 Ruby Rd, Carl Junction, MO 64834-8449

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