JACOB HENRICKSEN

JOHNSON CITY, TN
NPI1194268771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: TN  2941)
Enumeration Date2016-11-30
Last Update Date2016-11-30
Business Address
JACOB HENRICKSEN
3043 BOONES CREEK RD STE 107
JOHNSON CITY, TN 37615-4959
Phone number: 423-929-2225
Mailing Address
JACOB HENRICKSEN
3043 BOONES CREEK RD STE 107
JOHNSON CITY, TN 37615-4959
Phone number: