Provider Demographics
NPI:1366515165
Name:LASSMAN-EUL, KAREN ELAINE (OTRL)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELAINE
Last Name:LASSMAN-EUL
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2934 E EASTMOOR DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2734
Mailing Address - Country:US
Mailing Address - Phone:417-889-9842
Mailing Address - Fax:
Practice Address - Street 1:SPRINGFIELD PUBLIC SCHOOL-MOTOR SERVICES
Practice Address - Street 2:940 N JEFFERSON AVE
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-3539
Practice Address - Country:US
Practice Address - Phone:417-523-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist