Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOBUS ANTON WELLERDIECK, PT
ActiveJACOBUS ANTON WELLERDIECK, PT is a Physical Therapy Assistant healthcare provider located in GALESBURG, Illinois. NPI 1073850269 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GALESBURG, IL
Registration Details
- NPI Number
- 1073850269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2013 (13.595957359139 yrs)
- Last Updated
- Jan 9, 2013
- License
-
070.008643 (IL)
Practice Information
- Address
-
3333 N SEMINARY STGALESBURG, IL, 614011251Browse IL providers · Browse ZIP 61401
- Phone
- 3093449600
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GALESBURG, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JASON T. GRANDONE | PT | 1982603502 |
| MRS. HEPHZIBAH SUDHAKAR | PT | 1992705842 |
| MRS. MEAGAN WHEELER | PT | 1821046103 |
| MRS. JILL HICKMAN | PT | 1124076476 |
| MR. FAKHRY WILSON AZER | P.T. | 1790703452 |
| MS. MELISSA ENGEBRETSON | P.T. | 1033137716 |
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.