Individual
DR. JONATHAN CASEY JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
611 MALL RING CIR, HENDERSON, NV 89014-6619
(702) 483-5900
Mailing address
2251 WIGWAM PKWY APT 722, HENDERSON, NV 89074-6234
(972) 821-3313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6240
NV
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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