Kimberly Ann Jacob
Physical Therapist - Geriatrics
1685 S 21st St
Colorado Springs
, Colorado 80904-5123
Kimberly Ann Jacob
Physical Therapist - Geriatrics
1685 S 21st St
Colorado Springs
, Colorado 80904-5123
(719) 201-0543
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Kimberly Ann Jacob
- P. O. Box 77132
- Colorado Springs, CO
- Zip : 80970
- Phone : (719) 201-0543
Second Address
- Kimberly Ann Jacob
- 1685 S 21st St
- Colorado Springs, CO
- Zip : 80904-5123
- Phone : (719) 329-1774
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 6841 | CO |
National Provider Identifier
| NPI | 1306133608 |
|---|---|
| Provider Name | Kimberly Ann Jacob |
| First Address | Colorado Springs, CO 80970 |
| Second Address | Colorado Springs, CO 80904-5123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.