Individual
KENDRA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
Mailing address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 640-7594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2024-0186
NM
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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