Provider Demographics
NPI:1043763055
Name:JERABEK, CHELSEA (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:JERABEK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13795 S MUR LEN RD STE 203
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1096
Mailing Address - Country:US
Mailing Address - Phone:913-754-0700
Mailing Address - Fax:
Practice Address - Street 1:13795 S MUR LEN RD STE 203
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1096
Practice Address - Country:US
Practice Address - Phone:913-754-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05429261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy