SearchMissouri2255A2300X

Jacob Kintz, ATC, LAT

NPI 1942746284 · on the registry since 2017 · sole proprietor

Practice

Address
623 E Montclair St
Apt 3b
Springfield, MO 65807
Phone
(417) 865-2815

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-10

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