JAIRRAH LA NEACE GODSIL

KANSAS CITY, MO
NPI1841760543
Former NameJAIRRAH LA NEACE MANSFIELD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2018004819)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: KS  17-03386)
225X00000X Occupational Therapist
(Licence: CA  OT17857)
Enumeration Date2018-11-26
Last Update Date2024-01-18
Business Address
Dr. JAIRRAH LA NEACE GODSIL OTR/L, OTD, MOT
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3380
Mailing Address
Dr. JAIRRAH LA NEACE GODSIL OTR/L, OTD, MOT
ATTN: PROVIDER ENROLLMENT DEPARTMENT 2401 GILLHAM ROAD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200