Jacobson, Latisha Marie

Jacobson, Latisha Marie is an individual health care provider with primary practice located at 631 E. Crawfort St Suite 220, Salina KS 67401-5116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jacobson, Latisha Marie can be contacted via phone (785) 825-2323.

Contact Information

Primary practice address
631 E. Crawfort St Suite 220 Salina KS 67401-5116
Phone: (785) 825-2323
Fax: (785) 825-2325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-03295 Kansas

Profile Details

NPI number 1144323015
LBN Legal business name Jacobson, Latisha Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144323015 NPPES
Kansas MEDICAID 200003420A

Popular Providers