Organization
MOVEMENT POTENTIAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK PAUL JACOBS PT, DPT (OWNER/MANAGER)
(502) 298-4932
Entity
Organization
Contact information
Practice address
1900 ARBORO PL, LOUISVILLE, KY 40220-3576
(502) 298-4932
Mailing address
1900 ARBORO PL, LOUISVILLE, KY 40220-3576
(502) 298-4932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
005251
KY
Other
Enumeration date
03/18/2011
Last updated
03/28/2011
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