Individual
MR. DAVID WILLIAM JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
20218 77TH AVE NE, STE. A, ARLINGTON, WA 98223
(360) 435-3900
(360) 435-1105
Mailing address
20218 77TH AVE NE, STE. A, ARLINGTON, WA 98223
(360) 435-3900
(360) 435-1105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00008277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601085526
UBI
WA
01
—
MA00008277
CREDENTIAL NUMBER
WA
Enumeration date
03/11/2007
Last updated
01/13/2009
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