Individual
JACOB P RETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 CAPITOL WAY, BISMARCK, ND 58501-2218
(701) 451-0410
Mailing address
1615 CAPITOL WAY, BISMARCK, ND 58501-2218
(701) 451-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12971
MT
Other
Enumeration date
06/09/2017
Last updated
11/15/2021
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