Individual provider · Type 1 NPI

Marileen Ann Jacobs

Orthotic Fitter · Coeur D Alene, ID

NPI number 1023019494 Active

Practice location

1512 E Gilbert Ave
Coeur D Alene, ID 83815-6216

Fax (208) 667-4733

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter Primary 225000000XNone listed

Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.

About NPI 1023019494

Marileen Ann Jacobs's National Provider Identifier is 1023019494, issued on Aug 9, 2005. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.