Christian Lynn Jacobsen, PTA

NPI #1396520417 in De Witt, Iowa

Provider Information

NPI Number: 1396520417
Entity Type: Individual
Name: Christian Lynn Jacobsen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 28, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 1301 MAYNARD WAY
City: De Witt
State: Iowa
ZIP Code: 52742-9319
Phone: (563) 221-7110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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