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Individual

JACOB GROESBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
1412 N POINTE DR, TWIN FALLS, ID 83301-3272

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4871442
ID

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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