Individual
BRIAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 JOHN ST # 44, KALAMAZOO, MI 49007-5341
(269) 341-6454
Mailing address
601 JOHN ST # 44, KALAMAZOO, MI 49007-5341
(269) 341-6454
(269) 341-6706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011646
MI
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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