Individual
CHAD JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
(402) 330-8616
Mailing address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
(402) 330-8616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3083
NE
Other
Enumeration date
08/12/2011
Last updated
06/28/2012
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