Individual
ASHLEY MARIE JAACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3930 STADIUM DR, SIOUX CITY, IA 51106-5166
(712) 276-4325
Mailing address
3123 BUSHNELL AVE, SIOUX CITY, IA 51106-3206
(712) 251-3070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1232
IA
225200000X
Physical Therapy Assistant
802
NE
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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