Individual provider · Type 1 NPI

Jack Jacobs, PT/DPT

Geriatric Physical Therapist · Louisville, KY

NPI number 1245474774 Active

Practice location

2000 Newburg Rd
Louisville, KY 40205-1803

Call (502) 459-9681 Map

Fax (502) 479-2501

Mailing address

1900 Arboro Pl
Louisville, KY 40220-3576

Specialties and licenses

Taxonomy	Code	License
Geriatric Physical Therapist Primary	2251G0304X	005251 (KY)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1245474774

Jack Jacobs, PT/DPT's National Provider Identifier is 1245474774, issued on Apr 28, 2009. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Louisville, KY. The record was last updated on Apr 28, 2009.