Individual
JACOB CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6611 VINE ST, LINCOLN, NE 68505-2234
(402) 421-7920
Mailing address
6040 S 58TH ST, LINCOLN, NE 68516-3695
(402) 421-7920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1687
NE
Other
Enumeration date
12/26/2025
Last updated
12/30/2025
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