Individual
SAMANTHA ROSE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1757
(641) 673-1093
(641) 673-1293
Mailing address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1757
(641) 673-1093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
115945
IA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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