Individual
JACINDA A DRAISEY
Active
Individual
JACINDA A DRAISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06338
KS
225100000X
Physical Therapist
2020004947
MO
Other
Enumeration date
11/25/2019
Last updated
07/30/2024
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