Justice Jacobs, LMT

NPI #1275138711 in Davenport, Iowa

Provider Information

NPI Number: 1275138711
Entity Type: Individual
Name: Justice Jacobs, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 2906 W CENTRAL PARK AVE STE 2
City: Davenport
State: Iowa
ZIP Code: 52804-2674
Phone: (563) 543-9143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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