Individual
MR. JACOB BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2003 W BROADWAY STE 105, COLUMBIA, MO 65203-1136
(573) 474-5111
Mailing address
3601 W BROADWAY APT 11101, COLUMBIA, MO 65203-7912
(913) 208-2240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022013714
MO
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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