Individual
JACOB WHITE-SEABLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2500 GRANT ST, BETTENDORF, IA 52722-5092
(563) 359-9171
Mailing address
4509 22ND AVE, MOLINE, IL 61265-4513
(309) 373-5943
(309) 373-5943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
129785
IA
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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