Individual provider · Type 1 NPI

Matthew Jacques, PT, DPT

Specialist · Fargo, ND

NPI number 1679975205 Active

Practice location

2400 32nd Ave S
Fargo, ND 58103-5800

Call (701) 234-8700 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1624 (ND)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679975205

Matthew Jacques, PT, DPT's National Provider Identifier is 1679975205, issued on Sep 26, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fargo, ND. The record was last updated on Sep 26, 2014.