NPI 1093697138

Doug Ray Jacobson, CMT

Practitioner Massage Therapist Sandpoint, ID

Practice location

Address: 2961 Upper Pack River Rd, Sandpoint, ID 83864-4935
Phone: (970) 989-3358

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT.0016062 (CO)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1093697138
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2025
Record last updated: 21 Jul 2025

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.