Individual provider · Type 1 NPI

Doug Ray Jacobson, CMT

Massage Therapist · Sandpoint, ID

NPI number 1093697138 Active

Practice location

2961 Upper Pack River Rd
Sandpoint, ID 83864-4935

Call (970) 989-3358 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0016062 (CO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1093697138

Doug Ray Jacobson, CMT's National Provider Identifier is 1093697138, issued on Jul 21, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sandpoint, ID. The record was last updated on Jul 21, 2025.