Mr Thomas T Jacobs, LCMT is a
Massage Therapist based in Bristol, Illinois. Mr Thomas T Jacobs is licensed to practice in Illinois (license number ) and his current practice location is
113 Willow Ln, Bristol, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 553-3015.
NPI number for Mr Thomas T Jacobs is 1336218395 and his current mailing address is 113 Willow Ln, Bristol, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336218395.
Healthcare Provider's Profile
| Full Name | Mr Thomas T Jacobs |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 113 Willow Ln, Bristol, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336218395
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Thomas T Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336218395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas T Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thomas T Jacobs, LCMT
113 Willow Ln,
Bristol, IL 60512-9711
Ph: (630) 553-3015 | Mr Thomas T Jacobs, LCMT
113 Willow Ln,
Bristol, IL 60512-9711
Ph: (630) 553-3015 |
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