Individual
JACOB GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1301 HERR LN, GRAYMOOR DEVONDALE, KY 40222-4388
(502) 412-9383
Mailing address
350 FORREST HILL DR, MT WASHINGTON, KY 40047-7504
(502) 724-4192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
243355
KY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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