MR. Doug Ray Jacobson, CMT

NPI #1093697138 in Sandpoint, Idaho

Provider Information

NPI Number: 1093697138
Entity Type: Individual
Name: MR. Doug Ray Jacobson, CMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Jul 21, 2025
Last Updated: Jul 21, 2025

Practice Location

Address: 2961 UPPER PACK RIVER RD
City: Sandpoint
State: Idaho
ZIP Code: 83864-4935
Phone: (970) 989-3358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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