Individual
MARK DANIEL JAGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MSPT
Contact information
Practice address
12803 W 87TH STREET PKWY, LENEXA, KS 66215-4528
(913) 227-0754
(913) 227-0769
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06343
KS
225100000X
Physical Therapist
2015043540
MO
Other
Enumeration date
10/04/2011
Last updated
12/10/2019
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