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Justice Jacobs, LMT
NPI 1275138711 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2906 W Central Park Ave Ste 2
Davenport, IA 52804 - Phone
- (563) 543-9143
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-02
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 Iowa