Individual
JACOB LASHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1777 W. ST. MARY'S ROAD, TUCSON, AZ 85745
(520) 884-9819
(520) 884-0175
Mailing address
1777 W SAINT MARY'S RD, APT 2086, TUCSON, AZ 85745
(520) 884-9819
(520) 884-0175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8937
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545806
—
AZ
Enumeration date
07/29/2010
Last updated
04/03/2015
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