Stacie Leigh Jacobs

NPI #1508518507 in Valdosta, Georgia

Provider Information

NPI Number: 1508518507
Entity Type: Individual
Name: Stacie Leigh Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 20, 2022
Last Updated: Jan 20, 2022

Practice Location

Address: 3520 N CROSSING CIR
City: Valdosta
State: Georgia
ZIP Code: 31602-1067
Phone: (229) 242-8394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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