Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MEDFORD
Active Sole ProprietorComprehensive Outpatient Rehabilitation Facility · TEMPE, AZ
Registration Details
- NPI Number
- 1497415475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2021 (4.3420191232716 yrs)
- Last Updated
- Dec 18, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1204 E BASELINE RD STE 205TEMPE, AZ, 852831453Browse AZ providers · Browse ZIP 85283
- Phone
- 6197081440
- Primary Specialty
-
Comprehensive Outpatient Rehabilitation Facility
261QR0401X
Other Comprehensive Outpatient Rehabilitation Facility Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| SALEM BEYENE | — | 1629786033 |
| COQUECE JENKINS | — | 1699469445 |
| LAKEITHA BELLMON | — | 1609560705 |
| NAJIYYAH JAMILAH BELLMON-COOPER | — | 1093409617 |
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.