Jacob Thompson, PT

NPI #1295281491 in Hudson, Wisconsin

Provider Information

NPI Number: 1295281491
Entity Type: Individual
Name: Jacob Thompson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 28, 2016
Last Updated: Aug 28, 2016

Practice Location

Address: 742 STERBENZ DR
City: Hudson
State: Wisconsin
ZIP Code: 54016-8327
Phone: (715) 386-2128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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