NPI 1023019494

Marileen Ann Jacobs

Practitioner Orthotic Fitter Coeur D Alene, ID

Practice location

Address: 1512 E Gilbert Ave, Coeur D Alene, ID 83815-6216
Phone: (208) 664-4398
Fax: (208) 667-4733

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in Idaho →

Registry record

NPI: 1023019494
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.