Provider Demographics
NPI:1548444953
Name:MURIITHI, PETER KANGETHE (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:KANGETHE
Last Name:MURIITHI
Suffix:
Gender:M
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3423
Mailing Address - Country:US
Mailing Address - Phone:417-659-9372
Mailing Address - Fax:
Practice Address - Street 1:1005 E CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6603
Practice Address - Country:US
Practice Address - Phone:620-231-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01634172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist