Provider Demographics
NPI:1194263319
Name:ALEXCITES, LAURA (COTA/L)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ALEXCITES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 LENEXA DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1654
Mailing Address - Country:US
Mailing Address - Phone:913-213-3985
Mailing Address - Fax:913-652-9198
Practice Address - Street 1:8325 LENEXA DR
Practice Address - Street 2:SUITE 150
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1654
Practice Address - Country:US
Practice Address - Phone:913-213-3985
Practice Address - Fax:913-652-9198
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00968224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant