Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE WIETHOLDER, DPT
ActiveDR. JAKE WIETHOLDER, DPT is a Physical Therapy Assistant healthcare provider located in NORTH CHARLEROI, Pennsylvania. NPI 1326681743 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTH CHARLEROI, PA
Registration Details
- NPI Number
- 1326681743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2019 (6.823230635028 yrs)
- Last Updated
- Aug 14, 2023
- License
-
PT028061 (PA)
Practice Information
- Address
-
625 LINCOLN AVE STE 107NORTH CHARLEROI, PA, 150222451Browse PA providers · Browse ZIP 15022
- Phone
- 7244834886
- Fax
- 7244830519
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.