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

Individual provider Occupational Therapy Assistant · NPI 1194265249

Raquel Desiree Mallett is an Occupational Therapy Assistant in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
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Practice location Address checks out

8559 N Line Creek Pkwy
Kansas City, MO 64154-2100
Phone: (816) 468-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2016043316 (MO)

Record details

NPI number1194265249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 7, 2017
Last updated in NPPESMarch 7, 2017

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