Individual
JACOB KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
343 WINDING WOODS CTR, O FALLON, MO 63366-4170
(636) 439-2004
(636) 439-2054
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2026006433
MO
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
02/11/2026
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