Provider Demographics
NPI:1588865125
Name:FALTERMEIER, ALEX MICHAEL
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:MICHAEL
Last Name:FALTERMEIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 W 115TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2927
Mailing Address - Country:US
Mailing Address - Phone:913-451-1757
Mailing Address - Fax:
Practice Address - Street 1:9750 W 115TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2927
Practice Address - Country:US
Practice Address - Phone:913-451-1757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services