Search › Missouri › 225100000X
Jacob Bosak, DPT
NPI 1417716440 · on the registry since 2024
Practice
- Address
- 4029 Mill St
Kansas City, MO 64111 - Phone
- (816) 285-0022
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 208100000X
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-31
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 Missouri