MEDICARE: DR. JACOB T HOLBROOKS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01-06445	KS

General Provider Information

NPI Number	:	1528924636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB T HOLBROOKS DC

Provider Business Mailing Address
First Line	:	20814 W 92ND ST
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66220-3443
Country	:	US
Telephone Number	:	817-408-9753
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 WAKARUSA DR STE 400
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3879
Country	:	US
Telephone Number	:	785-832-8700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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