Individual
KELLEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1343 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-2878
(816) 232-5056
Mailing address
1343 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-2878
(816) 232-5056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009013982
MO
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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