IndividualActive
Jack Taber
NPI 1013894302 · Orthopedic Physical Therapist · Overland Park, KS
Provider details
- NPI number
- 1013894302
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11-07849 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3636 W 135th St
Overland Park, KS 66224-7610
Phone: (913) 632-4765
Approximate (ZIP-level) locationGet directions
Mailing address
3636 W 135th St
Overland Park, KS 66224-7610
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.