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Ethan Jacks, PTA
NPI 1346969425 · on the registry since 2022
Practice
- Address
- 9425 Mission Rd
Leawood, KS 66206 - Phone
- (913) 381-2100
- Organisation at this address
- Preferred Pt, Llc
Mpact Physical Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas