Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB SCOTT SPIESS
Active Sole ProprietorJACOB SCOTT SPIESS is a Sports Medicine (PM&R) healthcare provider located in KENTWOOD, Michigan. NPI 1568147239 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · KENTWOOD, MI
Registration Details
- NPI Number
- 1568147239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2023 (3.1912594663458 yrs)
- Last Updated
- Jun 20, 2023
- License
-
2601002901 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6230 KALAMAZOO AVE SEKENTWOOD, MI, 495087022Browse MI providers · Browse ZIP 49508
- Phone
- 6166986700
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.