Jacob Kevin Mcdonald, PT

NPI #1336597335 in De Pere, Wisconsin

Provider Information

NPI Number: 1336597335
Entity Type: Individual
Name: Jacob Kevin Mcdonald, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 31, 2016
Last Updated: Sep 28, 2022

Practice Location

Address: 1601 LAWRENCE DR STE 100
City: De Pere
State: Wisconsin
ZIP Code: 54115-3931
Phone: (920) 426-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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