| Mrs Latisha Marie Jacobson, PT | |
|
631 E. Crawfort St, Suite 220, Salina, KS 67401-5116 | |
| (785) 825-2323 | |
| (785) 825-2325 |
| Full Name | Mrs Latisha Marie Jacobson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 631 E. Crawfort St, Salina, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144323015 | NPI | - | NPPES |
| 200003420A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-03295 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwind Physical Therapy Inc | 1052461985 | 3 |
| Provider Name | Southwind Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689794661 PECOS PAC ID: 1052461985 Enrollment ID: O20090615000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Latisha Marie Jacobson, PT 631 E. Crawfort St, Suite 220, Salina, KS 67401-5116 Ph: (785) 825-2323 | Mrs Latisha Marie Jacobson, PT 631 E. Crawfort St, Suite 220, Salina, KS 67401-5116 Ph: (785) 825-2323 |
Kansas Physical Therapy Partners Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 405 E Iron Ave, Salina, KS 67401 Phone: 785-764-0497 | |
Mr. Jordan Zuccarelli, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 E Iron Ave, Salina, KS 67401 Phone: 785-764-0497 Fax: 785-746-0428 | |
Rilee Carson, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 523 S Santa Fe Ave, Salina, KS 67401 Phone: 785-823-2215 Fax: 785-823-7459 | |
Stacia Brenneman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 S Santa Fe Ave, Salina, KS 67401 Phone: 785-452-6668 | |
Sara Lee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 521 S Santa Fe Ave Ste A, Salina, KS 67401 Phone: 785-825-1361 Fax: 785-825-0833 | |
Dr. Christopher William Flieg, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Republic Ave, Salina, KS 67401 Phone: 785-825-1361 | |
Robyn Leanne Newberry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 E Crawford St, Salina, KS 67401 Phone: 256-496-3376 |