Individual
JACALYN ICEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2163 CLAREMONT AVE, ASHLAND, OH 44805-3547
(419) 207-2404
Mailing address
2163 CLAREMONT AVE, ASHLAND, OH 44805-3547
(419) 207-2404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013794
OH
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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