Individual
LINDA RAUPPLE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1221 DURSTON, BOZEMAN, MT 59715
(406) 582-3300
Mailing address
442 OXFORD DR, BOZEMAN, MT 59715
(406) 586-7103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
397
MT
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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