Sheila Diane Jacobs, MPT

NPI #1851953160 in Fruitland, Idaho

Provider Information

NPI Number: 1851953160
Entity Type: Individual
Name: Sheila Diane Jacobs, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 1255 N ALLEN AVE
City: Fruitland
State: Idaho
ZIP Code: 83619-2208
Phone: (208) 297-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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