Individual
JACOB RAECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
816 BUCK ST, TIFFIN, IA 52340-9419
(319) 464-5410
Mailing address
816 BUCK ST, TIFFIN, IA 52340-9419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31282
AZ
Other
Enumeration date
07/28/2020
Last updated
09/13/2023
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