Laura Ettlin Jacobs
Physical Therapist - Neurology
3915 Golden Valley Rd # Trp
Golden Valley
, Minnesota 55422-4249
Laura Ettlin Jacobs
Physical Therapist - Neurology
3915 Golden Valley Rd # Trp
Golden Valley
, Minnesota 55422-4249
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Laura Ettlin Jacobs
- 5424 Rowland Rd
- Minnetonka, MN
- Zip : 55343-8916
- Phone :
Second Address
- Laura Ettlin Jacobs
- 3915 Golden Valley Rd # Trp
- Golden Valley, MN
- Zip : 55422-4249
- Phone : (612) 775-2499
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | MN |
National Provider Identifier
| NPI | 1568939189 |
|---|---|
| Provider Name | Laura Ettlin Jacobs |
| First Address | Minnetonka, MN 55343-8916 |
| Second Address | Golden Valley, MN 55422-4249 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2018 |
| Last Update Date | 01/11/2018 |
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.