Jimmy Ta, DPT

NPI #1336976265 in Derby, Kansas

Provider Information

NPI Number: 1336976265
Entity Type: Individual
Name: Jimmy Ta, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 1824 E JAMES ST
City: Derby
State: Kansas
ZIP Code: 67037-8634
Phone: (316) 630-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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