Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JACKS, PTA
ActiveETHAN JACKS, PTA is a Occupational Therapist healthcare provider located in LEAWOOD, Kansas. NPI 1346969425 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LEAWOOD, KS
Registration Details
- NPI Number
- 1346969425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2022 (3.9401828528293 yrs)
- Last Updated
- Aug 23, 2022
- License
-
14-03380 (KS)
Practice Information
- Address
-
9425 MISSION RDLEAWOOD, KS, 662062045Browse KS providers · Browse ZIP 66206
- Phone
- 9133812100
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LEAWOOD, KS
| Name | Credential | NPI |
|---|---|---|
| STACY L BEAN | PTA | 1326258567 |
| KELSEY BRAUGHTON | PTA | 1467980789 |
| RACHEL RENEE RUSSELL | — | 1588164578 |
| KELLY KIRKWOOD | — | 1184124778 |
| JANICE CAROLLO | — | 1235615931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.