Individual
MRS. KENDAL JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC, LMT
Contact information
Practice address
13800 HUNTERS PASS, AUSTIN, TX 78734-3312
(512) 736-6742
Mailing address
13800 HUNTERS PASS, AUSTIN, TX 78734-3312
(512) 736-6742
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1148826
TX
2255A2300X
Athletic Trainer
AT1055
TX
225700000X
Massage Therapist
Primary
MT002723
TX
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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