Individual
JASON PARKER JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAT, PT
Contact information
Practice address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 977-2150
Mailing address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 977-2150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6843
MN
Other
Enumeration date
08/01/2006
Last updated
12/04/2019
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