Provider Demographics
NPI:1043459175
Name:MOORE, JACOB B (DPT)
Entity Type:Individual
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First Name:JACOB
Middle Name:B
Last Name:MOORE
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Gender:M
Credentials:DPT
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Mailing Address - Street 1:1215 DUFF AVENUE
Mailing Address - Street 2:MCFARLAND CLINIC PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4400
Mailing Address - Fax:515-239-4446
Practice Address - Street 1:2707 STANGE ROAD SUITE 102
Practice Address - Street 2:MCFARLAND CLINIC PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-956-4014
Practice Address - Fax:515-292-7200
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2021-05-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist