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Jacob Henricksen
Chiropractor in Lutz, Florida
NPI 1194268771

Jacob Henricksen is a Chiropractor based in Johnson City, FL. Jacob Henricksen practices in Lutz, FL. The NPI Number for Jacob Henricksen is 1194268771 and holds a License No. CH14963 (Florida).

The current practice location address for Jacob Henricksen is 250 Crystal Grove Blvd, Lutz, FL and can be reached out via phone at 813-776-1480 and via fax at 813-807-4774.

Location: 250 Crystal Grove Blvd, Lutz, FL, 37615-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194268771
Provider Name
Jacob Henricksen
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 Crystal Grove Blvd, Lutz, FL, 37615-4959
Phone Number
813-776-1480
Fax Number
813-807-4774
Provider Enumeration Date
11/30/2016
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
250 Crystal Grove Blvd
City
Lutz
State
Florida
Zip
33548-6460
Phone Number
813-776-1480
Fax Number
813-807-4774
person
Provider Business Mailing Address Details
Address
250 Crystal Grove Blvd
City
Lutz
State
Florida
Zip
33548-6460
Phone Number
813-776-1480
Fax Number
813-807-4774
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH14963 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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