Individual
JACOB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 EAGLETREE LN SE, HUNTSVILLE, AL 35801
(256) 883-0636
Mailing address
1500 LEGACY FARM DR SE APT 326, HUNTSVILLE, AL 35802-2670
(256) 493-6130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH12660
AL
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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