Doctor Name: | MR. NATHANAEL NICHOLAS JACOBSON |
NPI Number: | 1134190085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 6563 |
Business Practice Address: | 11 N 5th Ave W Melrose, MN - 563521071 |
Business Phone Number: | 3202564231 |
Business Fax Number: | 3202564949 |
Mailing Address: | 215 S 4th Ave E, MELROSE |
State: | MN |
Postal Code: | 563521343 |
Phone Number: | 3202565234 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |