Individual
KELSEY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 E SHANNON WOODS ST, WICHITA, KS 67226-4104
(316) 462-7450
Mailing address
3111 N INWOOD ST, WICHITA, KS 67226-2206
(707) 496-1080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
KS
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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