Individual
KELLY JO JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
415 E COOK RD STE 600, FORT WAYNE, IN 46825-3657
(260) 226-7329
(260) 226-7330
Mailing address
415 E COOK RD STE 600, FORT WAYNE, IN 46825-3657
(260) 226-7329
(260) 226-7330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011070A
IN
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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