Individual
JACELYN RAE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E 8TH ST, MINNEAPOLIS, KS 67467-1907
(785) 392-2122
Mailing address
219 LAUREL ST, MINNEAPOLIS, KS 67467-2903
(785) 488-6131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04210
KS
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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