Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GROSS
Active Sole ProprietorJACOB GROSS is a Occupational Therapist healthcare provider located in STANFORD, Kentucky. NPI 1063138337 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · STANFORD, KY
Registration Details
- NPI Number
- 1063138337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2022 (3.8635559917166 yrs)
- Last Updated
- Oct 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 HARMON HTSSTANFORD, KY, 404841111Browse KY providers · Browse ZIP 40484
- Phone
- 6063692141
- Primary Specialty
-
Occupational Therapist
225200000X
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.