Shull, Malissa

Shull, Malissa is an individual health care provider with primary practice located at 801 Nw Saint Mary Dr Suite 220, Blue Springs MO 64014-2524. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shull, Malissa can be contacted via phone (816) 220-3900.

Contact Information

Primary practice address
801 Nw Saint Mary Dr Suite 220 Blue Springs MO 64014-2524
Phone: (816) 220-3900
Fax: (816) 220-0877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2006012395 Missouri

Profile Details

NPI number 1255463105
LBN Legal business name Shull, Malissa
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255463105 NPPES
Missouri Other 37008018 BCBS PROVIDER NUMBER

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