Individual
KRISTIN DAHL JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
7650 E PARHAM RD, SUITE 100, RICHMOND, VA 23294-4373
(804) 282-6338
(804) 285-3237
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008908761
—
VA
01
—
192301
ANTHEM PT
VA
01
—
2485613
AETNA HMO
VA
01
—
258462
SOUTHERN HEALTH
VA
01
—
540885859
FOCUS
VA
01
—
98999
OPTIMA HEALTH
VA
Enumeration date
06/04/2006
Last updated
08/09/2023
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