JAIME JACOBY

MISSOULA, MT
NPI1861862880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  PTP-PTA-LIC-7687)
Enumeration Date2015-10-02
Last Update Date2015-10-02
Business Address
-- JAIME JACOBY
4720 23RD AVE
MISSOULA, MT 59803-1137
Phone number: 406-251-5100
Mailing Address
-- JAIME JACOBY
4718 23RD AVE SUITE 500
MISSOULA, MT 59803-1163
Phone number:
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