Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Jacks, PTA

Individual provider Physical Therapy Assistant · NPI 1346969425

Ethan Jacks, PTA is a Physical Therapy Assistant in Leawood, Kansas. Licensed in Kansas. Registered with an NPI since 2022.

Licensed in
KS
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9425 Mission Rd
Leawood, KS 66206-2045
Phone: (913) 381-2100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14-03380 (KS)

Record details

NPI number1346969425
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address200 W Douglas Ave Ste 250, Wichita, KS 67202-3002

Other providers in Leawood