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Individual

JACOB STRYKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7007
Mailing address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4284
NE
2255A2300X
Athletic Trainer
078769
IA
2255A2300X
Athletic Trainer
729
NE

Other

Enumeration date
01/15/2015
Last updated
09/17/2021
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