Individual
JACOB LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1211 E ARMY POST RD, DES MOINES, IA 50315-5957
(515) 256-9540
Mailing address
1211 E ARMY POST RD, DES MOINES, IA 50315-5957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
090047
IA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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