KERRY BROOKE CLEMETSON (NPI# 1548531072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548531072 |
| Entity Type | Individual |
| Full Name | KERRY BROOKE CLEMETSON |
| Practice Address |
11504 W 135th St Overland Park KS 66221-2892 |
| Practice Telephone | 9136819909 |
| Practice Fax Number | 9136819906 |
| Mailing Telephone | 9136819909 |
| Mailing Fax Number | 9136819906 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11504 W 135TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66221-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164630265 | Brian T. Boerner | Physical Therapist | 11504 W 135th St, Overland Park, KS 66221-2892 | 2007-05-21 |
| 1235671496 | Albert Dental | Taxi | 11504 W 135th St, Overland Park, KS 66221-2892 | 2016-11-04 |
| 1982017612 | Paul Craig | Physical Therapist | 11504 W 135th St, Overland Park, KS 66221-2892 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1508201963 | Jessica Mary Molstad | Nurse Practitioner | 11400 W. 135th Street, Overland Park, KS 66221 | 2013-04-29 |
| 1659687739 | Willie K Yuen | Physical Therapist | 11504 W 135th St., Performance Rehab. LLC, Overland Park, KS 66221 | 2010-08-26 |
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1538375407 | Michelle Tims | Occupational Therapist | 9101 158th St, Overland Park, KS 66221 | 2007-05-15 |
| 1124249321 | Choice of Health Pa | Chiropractor | 9120 W 135th Street, Suite 205, Overland Park, KS 66221 | 2007-05-02 |
| 1396830980 | Heartland Diabetic Supplies LLC | Non-Pharmacy Dispensing Site | 10703 W. 149th Street, Overland Park, KS 66221 | 2006-10-03 |
| Find all providers in zip 66221 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003931569 | Sally D Bailey | Art Therapist | 129 Nichols Hall, Kansas State University, Manhattan, KS 66506-2300 | 2007-03-20 |
| 1174655666 | Kathleen Kalani Gilmartin | Art Therapist | 1902 N Cardington St, Wichita, KS 67212-6465 | 2007-03-10 |
| 1477649291 | Michelle D Nienkamp | Art Therapist | 1901 E First Street, Newton, KS 67114-0467 | 2006-10-05 |
| 1437172780 | Kari K Fritz | Art Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-07-26 |
| City | OVERLAND PARK |
| Zip Code | 66221 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.