Provider Demographics
NPI:1144090663
Name:CUFFE, JOHN THOMAS JR (OT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:CUFFE
Suffix:JR
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 E 21ST ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1606
Mailing Address - Country:US
Mailing Address - Phone:316-688-1888
Mailing Address - Fax:316-652-1542
Practice Address - Street 1:5111 E 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1606
Practice Address - Country:US
Practice Address - Phone:316-688-1888
Practice Address - Fax:316-652-1542
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1702845225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist