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Jacob Henricksen
NPI 1194268771 · on the registry since 2016
Practice
- Address
- 250 Crystal Grove Blvd
Lutz, FL 33548 - Phone
- (813) 776-1480
- Fax
- (813) 807-4774
- Organisation at this address
- Henricksen Chiropractic, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida