Individual
DR. JACOB SCHALLER-WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
855 CITADEL DR E, COLORADO SPRINGS, CO 80909-5304
(719) 465-1502
(719) 465-2087
Mailing address
PO BOX 361, FLORISSANT, CO 80816-0361
(719) 477-3698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017248
CO
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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