Individual
AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8550 MARSHALL DR STE 210, LENEXA, KS 66214-9836
(913) 492-0333
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03312
KS
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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