LAURA ETTLIN JACOBS (NPI# 1568939189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939189 |
| Entity Type | Individual |
| Full Name | LAURA ETTLIN JACOBS |
| Other Name | LAURA ETTLIN |
| Practice Address |
3915 Golden Valley Rd # Trp Golden Valley MN 55422-4249 |
| Mailing Address |
5424 Rowland Rd Minnetonka MN 55343-8916 |
| Practice Telephone | 6127752499 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740780220 | Laura L Jacobs | Licensed Vocational Nurse | 4921 Vz County Road 3812, Wills Point, TX 75169-5513 | 2018-02-20 |
| 1477719516 | Laura A Jacobs | Social Worker | 119 Western Hwy, West Nyack, NY 10994-2601 | 2008-07-29 |
| 1679794358 | Laura Charlotte Jacobs | Occupational Therapist | 20 Westwood Medical Park, Bluefield, VA 24605-2003 | 2007-05-01 |
| 1407875818 | Laura Norene Jacobs | Counselor | 2365 W Sumaya Pl, Tucson, AZ 85741-3708 | 2006-07-18 |
| 1710435987 | Laura Jacobs | Nurse Practitioner | 2000 Church St, Nashville, TN 37236-1471 | 2016-09-16 |
| 1932657673 | Laura Jacobs | Counselor | 200 Hoosier Dr Ste E, Angola, IN 46703-9349 | 2016-09-12 |
| 1265838064 | Laura Zell Jacobs | Counselor | 1513 Sports Dr, 100, Sacramento, CA 95834-1943 | 2014-11-06 |
| 1225474935 | Laura Elizabeth Jacobs | Speech-Language Pathologist | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2013-05-21 |
| 1770851370 | Laura L Jacobs | Physical Therapist | 1288 Sw Simpson Ave, Suite F, Bend, OR 97702-3195 | 2011-12-09 |
| 1982982344 | Laura Ann Jacobs | Nurse Practitioner | 6159 1st Financial Dr, St. Elizabeth Physicians, Burlington, KY 41005-7892 | 2011-08-02 |
| Street Address |
3915 GOLDEN VALLEY RD # TRP |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119703 | Anne Christine Mackin Emanuel | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2020-03-21 |
| 1720435282 | Ashley Ann Roiger | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2016-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585387 | Kelly Faber | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-07-20 |
| 1548884950 | Emily Carstens | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-06-01 |
| 1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
| 1538728019 | Daniel Thomas Plocker | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2019-06-10 |
| 1407322662 | Rebekah L Summers | Physical Therapist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2018-10-15 |
| 1083152201 | Kate Brown | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-02-08 |
| 1912350869 | Christina Atkinson | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2016-07-15 |
| 1285083899 | Kristina Swatfager | Physical Therapist | 800 E 28th St, Mail Route 12210, Minneapolis, MN 55407-3723 | 2016-06-06 |
| 1225483365 | Maria Leider | Physical Therapist | 12400 Portland Ave, Ste. 140, Burnsville, MN 55337-6868 | 2016-04-26 |
| 1972834885 | Michael Robert Borich | Physical Therapist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2010-01-18 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on LAURA ETTLIN JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.