Individual
GRANT CHARLES JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23515 NE NOVELTY HILL RD, REDMOND, WA 98053-1996
(425) 868-5260
Mailing address
110 BAUGHMANS LN STE 160, FREDERICK, MD 21702-4946
(240) 651-1335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP038703T
CO
225100000X
Physical Therapist
Primary
CP049811T
WA
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/01/2022
Last updated
03/26/2026
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