Jacob Gould

NPI #1851975783 in Emporia, Kansas

Provider Information

NPI Number: 1851975783
Entity Type: Individual
Name: Jacob Gould
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 6, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 2812 W 12TH AVE
City: Emporia
State: Kansas
ZIP Code: 66801-6202
Phone: (620) 208-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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