Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE RYAN BOSTICK, PT
ActiveJAKE RYAN BOSTICK, PT is a Physical Therapy Assistant healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1669084075 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1669084075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2020 (5.9956088983045 yrs)
- Last Updated
- Aug 18, 2020
- License
-
PT028863 (PA)
Practice Information
- Address
-
3075 ENTERPRISE DR STE 200STATE COLLEGE, PA, 168013241Browse PA providers · Browse ZIP 16801
- Phone
- 8143088482
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in STATE COLLEGE, PA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES P BENNETT | MPT | 1932100682 |
| MRS. JADE CHU | PT | 1205811155 |
| CHRISTINE ELLEN HURD | PT | 1093794232 |
| HEATHER B WALKER | MPT | 1033189139 |
| DEAN M PLAFCAN | PT | 1821052200 |
| SUSAN B FIX | PT | 1902860299 |
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.