Individual
MARISSA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7200
(816) 404-7062
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7200
(816) 404-7062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2024002457
MO
2255A2300X
Athletic Trainer
24-01714
KS
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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