Individual
JACOB G BRUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
710 E 1ST ST, ANKENY, IA 50021-2007
(515) 965-5311
(515) 965-5301
Mailing address
710 E 1ST ST, ANKENY, IA 50021-2007
(515) 965-5311
(515) 965-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005080
IA
225100000X
Physical Therapist
1231180
TX
Other
Enumeration date
02/07/2013
Last updated
03/23/2015
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