Individual
DR. JACOB TYLER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9201 W 133RD ST, OVERLAND PARK, KS 66213-4751
(816) 808-8722
Mailing address
11816 FREMONT AVE, KANSAS CITY, MO 64134-3723
(816) 080-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07065
KS
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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