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Search › Kansas › 224Z00000X

Shawna Petersilie, COTA

NPI 1194282509 · on the registry since 2019 · sole proprietor

Practice

Address
2700 Canal Blvd
Hays, KS 67601
Phone
(785) 625-7331
Organisation at this address
The Evangelical Lutheran Good Samaritan Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1401 Cherry Ln, Great Bend, KS
  • 566 W 6th St, Hoisington, KS

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas