Individual
STEPHEN JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 RUSSELL ST, MISSION, KS 66202-1662
(303) 525-7658
Mailing address
5400 RUSSELL ST, MISSION, KS 66202-1662
(303) 525-7658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2022013157
MO
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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