Individual
KAITLIN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 WALNUT ST, SYRACUSE, NE 68446-7017
(402) 269-7527
Mailing address
9325 S 28TH ST, LINCOLN, NE 68516-5902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1199
NE
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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