Healthcare Provider Details

I. General information

NPI: 1730495649
Provider Name (Legal Business Name): LORNA MICHELLE JARRETT NCPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORNA M JARRETT NCPT

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW LANE ST
TOPEKA KS
66604-3135
US

IV. Provider business mailing address

21508 W 64TH TER STE 1000
SHAWNEE KS
66218-8700
US

V. Phone/Fax

Practice location:
  • Phone: 913-954-7415
  • Fax:
Mailing address:
  • Phone: 913-954-7415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-02136
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: