Individual
JACOB R HYATT
Active
Individual
JACOB R HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8985
AZ
225700000X
Massage Therapist
MT12341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8985
PT LICENSE
AZ
Enumeration date
08/18/2010
Last updated
03/12/2013
Update your record
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