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NPI Code Detail

MEDICARE: DAVID A. JERABEK PT,

MEDICARE: DAVID A. JERABEK PT,
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
1225100000XPhysical Therapist11-03464KS

General Provider Information

NPI Number : 1023022001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A. JERABEK PT,
Provider Business Mailing Address
First Line : IRWIN ARMY COMMUNITY HOSPITAL
Second Line : 600 CAISSON HILL ROAD
City : FORT RILEY
State : KS
Zip : 66442-5037
Country : US
Telephone Number : 785-239-7155
Fax Number : 785-239-7364
Provider Business Practice Location Address
First Line : IRWIN ARMY COMMUNITY HOSPITAL
Second Line : 600 CAISSON HILL ROAD
City : FORT RILEY
State : KS
Zip : 66442-5037
Country : US
Telephone Number : 785-239-7155
Fax Number : 785-239-7364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID A. JERABEK PT,” Practice Location

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