Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LUCAS BROADHURST, PT, DPT
ActiveJACOB LUCAS BROADHURST, PT, DPT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1164916839 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1164916839
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2018 (8.1415172495916 yrs)
- Last Updated
- Jun 18, 2018
- License
-
30341 (FL)
Practice Information
- Address
-
3311 BEACH BLVDJACKSONVILLE, FL, 322073704Browse FL providers · Browse ZIP 32207
- Phone
- 3522467339
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| JOANNA LEIGH MARSHALL | PT | 1154326536 |
| DONNA LOUISE ZIEGLER | PT | 1184629560 |
| DAWN NICHELLE ROSADO | MPT | 1578568952 |
| DEBORAH JANET ROCKETT | PT | 1174528566 |
| KYLE G CORBIN | PT | 1437154804 |
| SARAH L KATSARAS | PT | 1376548776 |
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.