Kousaku Jesse Ohtake
Kousaku Jesse Ohtake is a Physical Therapist in Lawrence, Kansas. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
325 Maine StLawrence, KS 66044-1360
Phone: (785) 505-2712
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence LPT-31859 (AZ) |
|---|
Record details
| NPI number | 1326883448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2024 |
| Last updated in NPPES | June 29, 2024 |
| Certification date | June 28, 2024 |
| Mailing address | 325 Maine St, Lawrence, KS 66044-1360 |
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Laura Olson, DPT
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Dr. Lydia Karlene Owsley, PT, DPT
325 Maine St, Lawrence, KS 66044-1360 · (785) 505-2712
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Cody Peterson, DPT
325 Maine St, Lawrence, KS 66044-1360 · (785) 505-2712