Jacob King, DPT Valid NPI

Individual provider · Physical Therapist · O Fallon, MO

NPI

1689536203

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

2026006433 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-12-02

Last updated

2026-02-11