JACOB ANDREW BASTIN

SHAWNEE, KS
NPI1700555745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-06901)
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
JACOB ANDREW BASTIN PT, DPT
13847 W 63RD ST STE 2
SHAWNEE, KS 66216-3800
Phone number: 913-962-7774
Mailing Address
JACOB ANDREW BASTIN PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217