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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB PROFFIT, DPT, ATC

Active

JACOB PROFFIT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in LOGAN, Utah. NPI 1154185148 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOGAN, UT

Registration Details

NPI Number
1154185148
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2024 (2.4836981747656 yrs)
Last Updated
Feb 9, 2024
Licenses
11965771-4810 (UT)
11965771-2401 (UT)

Practice Information

Address
209 W 300 N
LOGAN, UT, 843213809
Browse UT providers · Browse ZIP 84321
Phone
4357168535
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LOGAN, UT

Name Credential NPI
LORI CHRISTIE OLSEN 1366463259
JOHN D COLE PT 1598789448
TRACY WALKER PT 1164446019
NATHAN A YOUNG PT 1194749036
DOUGLAS W STROMBERG PT 1538183470
GEORGE LEE ROSS PT 1932123874
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.