Individual
KAYLA ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-4544
(319) 352-4655
Mailing address
167 S 82ND ST, WEST DES MOINES, IA 50266-8523
(319) 239-9367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108473
IA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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