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)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