Doctor Name: | JONATHAN VIRGIL JACOBSEN |
NPI Number: | 1619027836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 53121142401 |
Business Practice Address: | 680 E Main St Ste 101 Lehi, UT - 840432251 |
Business Phone Number: | 8017682723 |
Business Fax Number: | |
Mailing Address: | 1123 N 1300 E, LEHI |
State: | UT |
Postal Code: | 840439009 |
Phone Number: | 8017663729 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 53121142401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |