IndividualActive
Marileen Jacobs
NPI 1023019494 · Orthotic Fitter · Coeur D Alene, ID
Provider details
- NPI number
- 1023019494
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1512 E Gilbert Ave
Coeur D Alene, ID 83815-6216
Phone: (208) 664-4398
Fax: (208) 667-4733
Approximate (ZIP-level) locationGet directions
Mailing address
1512 E Gilbert Ave
Coeur D Alene, ID 83815-6216
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.