SearchKansas251E00000X

Jericho Fief, COTA

NPI 1134675861 · on the registry since 2016 · sole proprietor

Practice

Address
1611 9th St.
Clay Center, KS 67432
Phone
(785) 630-1718

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-01

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