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

Jacqueline Lee Walsh, PT

Individual provider Physical Therapist · NPI 1487791679

Jacqueline Lee Walsh, PT is a Physical Therapist in Private Practice in Raytown, Missouri. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Years since qualifying
27
Licensed in
KS, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6713 Vermont Ave
Raytown, MO 64133-6140
Phone: (816) 547-9654
Fax: (816) 832-2874
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-02863 (KS)
Physical Therapist Taxonomy 225100000X · Licence 2000151779 (MO)

Record details

NPI number1487791679
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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