JACOB HENRICKSEN

LUTZ, FL
NPI1194268771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH14963)
Enumeration Date2016-11-30
Last Update Date2025-01-07
Business Address
JACOB HENRICKSEN
250 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6460
Phone number: 813-776-1480
Mailing Address
JACOB HENRICKSEN
3043 BOONES CREEK RD STE 107
JOHNSON CITY, TN 37615-4959
Phone number: