Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BLACK, DPT
Active Sole ProprietorJACOB BLACK, DPT is a Physical Therapy Assistant healthcare provider located in WINNEMUCCA, Nevada. NPI 1023358876 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WINNEMUCCA, NV
Registration Details
- NPI Number
- 1023358876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2013 (13.456416540269 yrs)
- Last Updated
- Jul 22, 2016
- License
-
2808 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 HANSON STWINNEMUCCA, NV, 894453607Browse NV providers · Browse ZIP 89445
- Phone
- 7756252222
- Fax
- 7756251131
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WINNEMUCCA, NV
| Name | Credential | NPI |
|---|---|---|
| CHAD J BACKUS | PT, DPT | 1962409581 |
| MICHAEL J SNOW | DPT | 1528065141 |
| DEMARAH BACKUS GRAY | MS, PT | 1033116538 |
| ANDREW HILLYER | P.T. | 1205993557 |
| JESSICA LEE MCGOVERN | DPT | 1235376484 |
| MATTHEW C BUGNET | PT, DPT | 1306131412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.