Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DEESE, PT, DPT, ATC
ActiveJACOB DEESE, PT, DPT, ATC is a Sports Medicine (PM&R) healthcare provider located in PINEVILLE, North Carolina. NPI 1073047759 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · PINEVILLE, NC
Registration Details
- NPI Number
- 1073047759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2017 (9.2815269077696 yrs)
- Last Updated
- Feb 9, 2021
- Licenses
-
LAT-2888 (NC)P20196 (NC)
Practice Information
- Address
-
13333 DORMAN RDPINEVILLE, NC, 281349336Browse NC providers · Browse ZIP 28134
- Phone
- 7047161024
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
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.