Heidi Jacob, PTA, LMT

NPI 1396092920 · on the registry since 2012

Practice

Address: 1519 Central St
Stoughton, MA 02072
Phone: (781) 297-0979
Fax: (781) 297-3703
Organisation at this address: Elite Sports, Inc.
Elite Health And Fitness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-16

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 Massachusetts