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Individual

JACQUELINE KELLY SHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8889 W 75TH ST, OVERLAND PARK, KS 66204-2206
(913) 319-7600
(913) 253-1702
Mailing address
8889 W 75TH ST, OVERLAND PARK, KS 66204-2206
(913) 319-7600
(913) 253-1702

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07890
KS

Other

Enumeration date
06/10/2025
Last updated
06/24/2025
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