Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LARK, DPT
Active Sole ProprietorJACOB LARK, DPT is a Physical Therapy Assistant healthcare provider located in CANTON, Ohio. NPI 1538708755 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CANTON, OH
Registration Details
- NPI Number
- 1538708755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2020 (6.6046784735998 yrs)
- Last Updated
- Oct 9, 2020
- Licenses
-
PT018124 (OH)297919 (CA)018124 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4766 BELPAR ST NWCANTON, OH, 44718Browse OH providers · Browse ZIP 44718
- Phone
- 3302441001
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Clinic
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CANTON, OH
| Name | Credential | NPI |
|---|---|---|
| KRISTEN CHAVEZ | PT | 1942287420 |
| MR. PAUL HENRY RENNER | P.T. | 1598726184 |
| MR. DENIS SCAIA | P.T. | 1881655405 |
| MISS KIMBERLEE HURT | P.T. | 1245291889 |
| MS. ELIZABETH BAINTER | P.T. | 1639131931 |
| ALLISON LEE MARSDEN | PT | 1811948300 |
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.