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

JACOB WILSON

Active

JACOB WILSON is a Physical Therapy Assistant healthcare provider located in FAIRFIELD, Iowa. NPI 1255849626 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRFIELD, IA

Registration Details

NPI Number
1255849626
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2018 (8.5844448881617 yrs)
Last Updated
Jul 3, 2019
Licenses
PT60960737 (WA)
090148 (IA)

Practice Information

Address
2000 S MAIN ST
FAIRFIELD, IA, 525569572
Browse IA providers · Browse ZIP 52556
Phone
6414724111
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FAIRFIELD, IA

Name Credential NPI
MRS. HENDRIKA L.C. HEKKER PT 1639147994
MS. LINDA JEAN COATS PT 1619001799
BRIAN PETERSON PT 1427174515
LILIMORE VILLAFLOR RAMONESWELLS PT 1619093994
MRS. JULIE L AESCHLIMAN P.T. 1639295942
CHRISTINA JANE MEEKER PT 1558481762
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.