Individual
CURTIS LESLIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3784 SUMMIT RUN TRL, IDAHO FALLS, ID 83404-8248
(208) 731-9896
Mailing address
3784 SUMMIT RUN TRL, IDAHO FALLS, ID 83404-8248
(208) 731-9896
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT-1675
ID
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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