Individual
JUSTICE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2906 W CENTRAL PARK AVE STE 2, DAVENPORT, IA 52804-2674
(563) 543-9143
Mailing address
2906 W CENTRAL PARK AVE STE 2, DAVENPORT, IA 52804-2674
(563) 543-9143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
093247
IA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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