Jacob Flores, DPT | |
2540 Iowa St Ste A, Lawrence, KS 66046-5753 | |
(785) 371-9721 | |
Not Available |
Full Name | Jacob Flores |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2540 Iowa St Ste A, Lawrence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568158459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1107265 (Kansas) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20170914002697 |
Mailing Address | Practice Location Address |
---|---|
Jacob Flores, DPT 627 N 83rd Ter, Kansas City, KS 66112-1955 Ph: (913) 713-9886 | Jacob Flores, DPT 2540 Iowa St Ste A, Lawrence, KS 66046-5753 Ph: (785) 371-9721 |
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