Individual
ANDREW JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N ANDOVER RD, ANDOVER, KS 67002-9712
(316) 202-0195
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T-06396
KS
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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