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Contact Information

JACK JACOBS, PT/DPT
2000 NEWBURG RD
LOUISVILLE, KY40205-1803
 Phone: 502-459-9681
 Fax: 502-479-2501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACK JACOBS · (Male)

NPI Number 1245474774
Status Active
Credentials PT/DPT
Entity Individual
Enumeration date 04/28/2009
Last updated 04/28/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 005251
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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