Individual
JAKE AIKMAN MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3275 LUSK DR, SUITE C, NEOSHO, MO 64850
(417) 312-8312
Mailing address
844 E COUNTRY RIDGE ST, NIXA, MO 65714-7668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021033653
MO
Other
Enumeration date
04/12/2022
Last updated
10/18/2023
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