Individual
JACOB DEHN VANDERVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1133 COLLEGE AVE STE G200, MANHATTAN, KS 66502-2934
(785) 539-9669
Mailing address
1325 COLUMBINE CIR, SALINA, KS 67401-9075
(785) 547-7025
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11-06138
KS
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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