Doctor Name: | MRS. LEA RENAE JACOBSON |
NPI Number: | 1619052826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 00010056 |
Business Practice Address: | 1015 Ne Hostmark St Suite 101 Poulsbo, WA - 98370 |
Business Phone Number: | 3606977726 |
Business Fax Number: | 3606777728 |
Mailing Address: | 9621 Ridgetop Blvd, Suite 100 SILVERDALE |
State: | WA |
Postal Code: | 98383 |
Phone Number: | 3603377662 |
Fax Number: | 3603377300 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00010056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |