Provider Demographics
NPI:1538584156
Name:ARBOGAST, JAMIE KAY (PT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:KAY
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:KAY
Other - Last Name:POOL-ARBOGAST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:10315 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3065
Mailing Address - Country:US
Mailing Address - Phone:913-631-8200
Mailing Address - Fax:
Practice Address - Street 1:10315 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-3065
Practice Address - Country:US
Practice Address - Phone:913-631-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-01923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist