Individual
KRISTIN DAHL JACOBY
Active
Individual
KRISTIN DAHL JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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