Individual provider · Type 1 NPI

Ethan Jacks, PTA

Physical Therapy Assistant · Leawood, KS

NPI number 1346969425 Active

Practice location

9425 Mission Rd
Leawood, KS 66206-2045

Call (913) 381-2100 Map

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-03380 (KS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1346969425

Ethan Jacks, PTA's National Provider Identifier is 1346969425, issued on Aug 23, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leawood, KS. The record was last updated on Aug 23, 2022.