JACOB E TODD

BOISE, ID
NPI1568138576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence:   PT-7512)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
JACOB E TODD PT, DPT
1435 S MAPLE GROVE RD
BOISE, ID 83709-1611
Phone number: 208-332-6200
Mailing Address
JACOB E TODD PT, DPT
1714 2ND ST N
FARGO, ND 58102-2328
Phone number: 701-403-9853