Organization
FOOT DYNAMICS
Active
Other names
Jeffrey T. Jacobs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY THOMAS JACOBS C.PED. (OWNER)
(208) 386-3338
Entity
Organization
Contact information
Practice address
1021 W. MAIN ST., BOISE, ID 83702-5706
(208) 386-3338
(208) 386-3250
Mailing address
1021 W. MAIN ST., BOISE, ID 83702-5706
(208) 386-3338
(208) 386-3250
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
02/24/2009
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