Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RADDEN, PT, DPT, PES
ActiveJACOB RADDEN, PT, DPT, PES is a Physical Therapy Assistant healthcare provider located in O FALLON, Illinois. NPI 1588389829 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · O FALLON, IL
Registration Details
- NPI Number
- 1588389829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2022 (3.8494840087765 yrs)
- Last Updated
- Oct 10, 2022
- License
-
070.027003 (IL)
Practice Information
- Address
-
821 W HIGHWAY 50 STE 150O FALLON, IL, 622691828Browse IL providers · Browse ZIP 62269
- Phone
- 6187260370
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| PATRICIA WIESNER | PT | 1144322256 |
| BRIDGET GRISSOM | PT | 1043395015 |
| NICOLE A AMOS | PT | 1326112988 |
| MISS JESSICA ANN ZIMMERMAN | MPT | 1104071067 |
| CYNTHIA S. HARDIN-WEISS | PT | 1447561196 |
| MICHELE R MORRIS | P.T. | 1679853667 |
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.