| Jacob Kloth, DPT | |
|
712 1st Ter Ste 103, Lansing, KS 66043-1715 | |
| (913) 727-2022 | |
| Not Available |
| Full Name | Jacob Kloth |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 712 1st Ter Ste 103, Lansing, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598459810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-07490 (Kansas) | Primary |
| Provider Name | Preferred Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619908647 PECOS PAC ID: 9436447422 Enrollment ID: O20161006001010 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Kloth, DPT 200 W Douglas Ave Ste 250, Wichita, KS 67202-3002 Ph: (316) 263-0003 | Jacob Kloth, DPT 712 1st Ter Ste 103, Lansing, KS 66043-1715 Ph: (913) 727-2022 |
Katherine Marie Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Dustin Douglas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3586 | |
Mike A Mendiola, BS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr, Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Leif Erick Sanford, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 E Kansas St Ste C, Lansing, KS 66043 Phone: 913-758-0283 | |
Trisha M. Mcculloch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Erin Katie Idacavage, PT, MPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Linda A Stelter, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 N Plaza Dr, Lansing, KS 66043 Phone: 913-727-1284 |