Female

Michele L. Jacobs DPT

Physical Therapist in Yakima, WA(View on Map)

Full Name

Michele Lynn Waitt Jacobs DPT

NPI Number

1053605345

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/03/2011

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

PT60092399

Contact
Information

Purpose

Mailing
Location

Address

1608 S 24TH AVE STE 102
1608 S 24TH AVE STE 102

City

Yakima
Yakima

State

WA
WA

Postal Code

98902-5719
98902-5719

Country

US
US

Telephone Number

(509) 248-6113
(509) 248-6113

Identifiers

Identifier

PT60092399

Identifier State

WA

Identifier Issuer

STATE LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/27/2015

Provider Address

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