Individual
MR. TIMOTHY DEAN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 TAYLOR AVENUE, SUITE 1100, NORFOLK, NE 68701-4641
(402) 371-7545
(402) 379-0583
Mailing address
2108 TAYLOR AVENUE, SUITE 1100, NORFOLK, NE 68701-4641
(402) 371-7545
(402) 379-0583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1330
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464600
—
NE
Enumeration date
01/05/2007
Last updated
07/08/2007
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