Provider Demographics
NPI:1992541239
Name:DOYLE, LAURA E (OTR/L)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:DOYLE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21709 W 46TH TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2418
Mailing Address - Country:US
Mailing Address - Phone:913-219-6148
Mailing Address - Fax:
Practice Address - Street 1:12213 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1273
Practice Address - Country:US
Practice Address - Phone:816-305-6623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024022856225X00000X
KS17-02737225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist