Provider Demographics
NPI:1023352259
Name:BOTEN, LINDSAY CHRISTINE (OTD, OTR/L, CLT)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:CHRISTINE
Last Name:BOTEN
Suffix:
Gender:F
Credentials:OTD, OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11624 TOMAHAWK CREEK PKWY
Mailing Address - Street 2:UNIT G
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2612
Mailing Address - Country:US
Mailing Address - Phone:913-449-0487
Mailing Address - Fax:
Practice Address - Street 1:11624 TOMAHAWK CREEK PKWY
Practice Address - Street 2:UNIT G
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2612
Practice Address - Country:US
Practice Address - Phone:913-449-0487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02707225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist