Individual
MATTHEW JAMES JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4233 BARDSTOWN RD STE 100C, LOUISVILLE, KY 40218-3263
(502) 493-3800
Mailing address
4233 BARDSTOWN RD STE 100C, LOUISVILLE, KY 40218-3263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008881
KY
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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