JACOB MIDDLETON

OMAHA, NE
NPI1497126866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-02914)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: NM  A-1177)
Enumeration Date2015-10-12
Last Update Date2015-10-12
Business Address
-- JACOB MIDDLETON
13609 CALIFORNIA ST STE 200
OMAHA, NE 68154-5245
Phone number: 402-891-1118
Mailing Address
-- JACOB MIDDLETON
13609 CALIFORNIA ST STE 200
OMAHA, NE 68154-5245
Phone number: