Jacob Terry

NPI #1962195644 in Gladstone, Missouri

Provider Information

NPI Number: 1962195644
Entity Type: Individual
Name: Jacob Terry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 6403 N PROSPECT AVE # 450
City: Gladstone
State: Missouri
ZIP Code: 64119-1545
Phone: (816) 683-8618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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