Destiny Dawn Jacobson in Princeton - Massage Therapist

Destiny Dawn Jacobson - NPI 1104015221

Destiny Dawn Jacobson is a Massage Therapist in Princeton, Minnesota. Destiny Dawn Jacobson practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Destiny Dawn Jacobson is 1104015221. The last update date is 2007-10-15.

Destiny Dawn Jacobson's current location address is 108 12th Ave N, Princeton, Minnesota. You can contact this provider via phone number 7633894938. The mailing address for Destiny Dawn Jacobson is 108 12th Ave N, Princeton, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Destiny Dawn Jacobson
Address 108 12th Ave N, Princeton, Minnesota
Phone Number 7633894938
Fax Number
Sole Proprietor N
Credentials ROBIN FISC

NPI Number Detail

NPI Number 1104015221
Provider Enumeration Date 2007-10-15
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 108 12th Ave N
City Princeton
State Minnesota (MN)
Post Code 553711424
Phone Number 7633894938
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Definition:
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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FAQs about Destiny Dawn Jacobson

What is the Destiny Dawn Jacobson's 1104015221?

The Destiny Dawn Jacobson's NPI (National Provider Identifier) Number is 1104015221. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Destiny Dawn Jacobson's facilities are geographically located?

The facilities of Destiny Dawn Jacobson are physically situated at the following location: 108 12Th Ave N, Princeton, MN, 553711424.

What is Destiny Dawn Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Destiny Dawn Jacobson's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.

When did Destiny Dawn Jacobson receive its 1104015221 assignment?

The Destiny Dawn Jacobson was assigned its 1104015221 on 2007-10-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Destiny Dawn Jacobson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Destiny Dawn Jacobson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-15.

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