NPI 1275138711

Justice Jacobs, LMT

Practitioner Massage Therapist Davenport, IA

Practice location

Address: 2906 W Central Park Ave STE 2, Davenport, IA 52804-2674
Phone: (563) 543-9143

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 093247 (IA)

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Registry record

NPI: 1275138711
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2020
Record last updated: 2 Dec 2020

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.