Search › Missouri › 183700000X
Jacob Brown, CPHT
NPI 1245828961 · on the registry since 2021
Practice
- Address
- 650 S Truman Blvd
Festus, MO 63028 - Phone
- (636) 937-9406
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-07
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 Missouri