Individual
JACQUELYN L. EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 PERRY ST, ROSSVILLE, KS 66533-9784
(785) 584-6968
(785) 584-6005
Mailing address
600 PERRY ST, ROSSVILLE, KS 66533-9784
(785) 584-6968
(785) 584-6005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01828
KS
Other
Enumeration date
08/16/2010
Last updated
12/22/2014
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