Provider Demographics
NPI:1548205958
Name:JANSEN, KARA A (PTA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:A
Last Name:JANSEN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:A
Other - Last Name:VOGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:13095 S MUR LEN RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1230
Mailing Address - Country:US
Mailing Address - Phone:913-782-7734
Mailing Address - Fax:913-782-7209
Practice Address - Street 1:13095 S MUR LEN RD
Practice Address - Street 2:SUITE 170
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1230
Practice Address - Country:US
Practice Address - Phone:913-782-7734
Practice Address - Fax:913-782-7209
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-01587225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant