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Individual

MEGAN JOY JAECKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1623 VISTA VIEW DR UNIT 1, LONGMONT, CO 80504-5399
(303) 578-6459
(720) 340-1822
Mailing address
1623 VISTA VIEW DR UNIT 1, LONGMONT, CO 80504-5399
(303) 578-6459
(720) 340-1822

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0016147
CO

Other

Enumeration date
01/15/2019
Last updated
04/19/2024
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