Individual
JACK TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 W 135TH ST, OVERLAND PARK, KS 66224-7610
(913) 632-4765
Mailing address
3636 W 135TH ST, OVERLAND PARK, KS 66224-7610
(913) 632-4765
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-07849
KS
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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