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Individual

JACINDA A DRAISEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
14895 W 151ST ST, OLATHE, KS 66062-3139
(913) 440-0992
(913) 320-2282
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980

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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