Individual
GRANT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1810 SW WHITE BIRCH CIR STE 107, ANKENY, IA 50023-7226
(515) 964-8885
(515) 964-4557
Mailing address
5627 NW 86TH ST, SUITE 200, JOHNSTON, IA 50131-1738
(515) 270-0303
(515) 270-0160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
076382
IA
Other
Enumeration date
02/05/2015
Last updated
02/05/2019
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