Individual
JACOB MICHAEL LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1001 VAN BUREN AVE STE 3, INDIAN TRAIL, NC 28079-5541
(704) 628-6053
(704) 628-6702
Mailing address
1429 BRYANT ST STE A, CHARLOTTE, NC 28208-5201
(704) 919-0867
(704) 817-8579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24828
NC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
04/16/2026
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