Individual
JACOB KETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
540 E YOUNG AVE STE E, WARRENSBURG, MO 64093-1250
(660) 262-4795
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP034808T
MO
225100000X
Physical Therapist
PT4666
AR
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
08/09/2019
Last updated
12/23/2024
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