Provider Demographics
NPI:1104331693
Name:SUNFLOWER THERAPY LLC
Entity type:Organization
Organization Name:SUNFLOWER THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:ALLEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:913-568-5977
Mailing Address - Street 1:P.O. BOX 2449
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66201
Mailing Address - Country:US
Mailing Address - Phone:913-321-8765
Mailing Address - Fax:913-573-2022
Practice Address - Street 1:500 KINDLEBERGER ROAD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66115
Practice Address - Country:US
Practice Address - Phone:913-321-8765
Practice Address - Fax:913-573-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00451225100000X
KS11-00002174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty