OrganizationActive
Blossom Pediatric Therapy, LLC
NPI 1831614908 · Pediatric Occupational Therapist · Lenexa, KS
Provider details
- NPI number
- 1831614908
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Jennifer Minnis, Occupational Therapist
- License
- 17-03143 (KS)
Practice location
12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410
Phone: (913) 299-4855
Fax: (888) 965-8977
Mailing address
12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410
Registry dates
- Enumerated
- 2017-08-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.