Individual
DR. KAILE C JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6130
Mailing address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106294
MN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/17/2020
Last updated
07/05/2022
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