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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE SULLIVAN, PT

Active

JAKE SULLIVAN, PT is a Physical Therapy Assistant healthcare provider located in OWENSBORO, Kentucky. NPI 1629637681 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · OWENSBORO, KY

Registration Details

NPI Number
1629637681
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2019 (7.1887814585353 yrs)
Last Updated
Jun 13, 2019

Practice Information

Address
2831 NEW HARTFORD RD
OWENSBORO, KY, 423031320
Browse KY providers · Browse ZIP 42303
Phone
2709264100
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in OWENSBORO, KY

Name Credential NPI
JASON P YUNKER P.T. 1083615702
MS. GAIL MARIE PARKER MPT 1194704189
JASON D. MYERS PT, OCS 1619939121
NATHAN R. LADD PT 1649208737
MRS. JONI FLAHERTY PT 1871602623
CRAIG R ROBERTS MPT 1417054487
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.