IndividualActive
Brandon Jacobson
NPI 1134084890 · Physical Therapy Assistant · Gilbert, AZ
Provider details
- NPI number
- 1134084890
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 015091 (AZ)
Practice location
1472 E Williams Field Rd
Gilbert, AZ 85295-1814
Phone: (480) 573-0848
Mailing address
1472 E Williams Field Rd
Gilbert, AZ 85295-1814
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.