Individual
JACOB R HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20950 N TATUM BLVD, SUITE100, PHOENIX, AZ 85050-4200
(480) 502-5510
(480) 538-4862
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6710
(480) 860-4298
(480) 860-0356
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
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