Individual
JACKSON ALAN MORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MPH
Contact information
Practice address
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211-1285
(913) 588-1227
Mailing address
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211-1285
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11006773
KS
225100000X
Physical Therapist
2021032083
MO
Other
Enumeration date
09/22/2021
Last updated
08/29/2023
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