Lindsey Jacobson
Physical Therapy Assistant
3475 S Alpine Rd
Rockford
, Illinois 61109-2604
Lindsey Jacobson
Physical Therapy Assistant
3475 S Alpine Rd
Rockford
, Illinois 61109-2604
(815) 654-8020
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Lindsey Jacobson
- Po Box 2176 Dept 5389
- Milwaukee, WI
- Zip : 53201-2176
- Fax : (815) 654-8020
- Phone : (815) 713-2600
Second Address
- Lindsey Jacobson
- 3475 S Alpine Rd
- Rockford, IL
- Zip : 61109-2604
- Fax : (815) 874-7525
- Phone : (815) 874-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160004616 | IL |
National Provider Identifier
| NPI | 1013189414 |
|---|---|
| Provider Name | Lindsey Jacobson |
| First Address | Milwaukee, WI 53201-2176 |
| Second Address | Rockford, IL 61109-2604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2008 |
| Last Update Date | 07/01/2010 |
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.