| Mrs Dyan Marie Jacobson, PHYSICALTHERAPISTMPT | |
|
1620 17th St Nw, Faribault, MN 55021-2839 | |
| (507) 332-2204 | |
| (507) 332-2270 |
| Full Name | Mrs Dyan Marie Jacobson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1620 17th St Nw, Faribault, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457324253 | NPI | - | NPPES |
| 6401148 | Other | MN | MEDICA IND PROVIDER # |
| 2032898 | Other | MN | ARAZ IND PROVIDER # |
| 33G05JA | Other | MN | BCBS INDIVIDUAL PROVIDER# |
| HP42458 | Other | MN | HEALTH PARTNERS IND PRO# |
| 11613 | Other | MN | U-CARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6156 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dyan Marie Jacobson, PHYSICALTHERAPISTMPT 1205 2nd St Nw, Rochester, MN 55901-0360 Ph: (507) 288-4416 | Mrs Dyan Marie Jacobson, PHYSICALTHERAPISTMPT 1620 17th St Nw, Faribault, MN 55021-2839 Ph: (507) 332-2204 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Nathan A Moldestad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Suite 4, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Kristen Spindler, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Dr. Brandon Robert Krogman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-497-3790 |