Individual
JACOB KEVIN NESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
789 HOLTON DR, LE MARS, IA 51031-3757
(712) 546-1718
(172) 546-1770
Mailing address
789 HOLTON DR, LE MARS, IA 51031-3757
(712) 546-1718
(172) 546-1770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004402
IA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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