JACOB KETTNER

FAYETTEVILLE, AR
NPI1225683808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
Additional Taxonomies225100000X Physical Therapist
(Licence: AR  PT4666)
Enumeration Date2019-08-09
Last Update Date2023-10-18
Business Address
JACOB KETTNER PT
3399 BLACK FOREST DR STE 3
FAYETTEVILLE, AR 72704-6541
Phone number: 417-300-9965
Mailing Address
JACOB KETTNER PT
6815 ISAACS ORCHARD RD STE D
SPRINGDALE, AR 72762-6285
Phone number: 479-856-6400