Organization
INTERACTIVE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SPINKA DPT (OWNER)
(913) 484-0584
Entity
Organization
Contact information
Practice address
8423 WIDMER RD, LENEXA, KS 66215-5416
(913) 484-0584
Mailing address
8423 WIDMER RD, LENEXA, KS 66215-5416
(913) 484-0584
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-04680
STATE LICENSE
KS
Enumeration date
07/09/2020
Last updated
11/20/2025
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