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

JACOB DICKERSON

Active

JACOB DICKERSON is a Physical Therapy Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1730853292 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOUISVILLE, KY

Registration Details

NPI Number
1730853292
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2021 (5.0258348562592 yrs)
Last Updated
Aug 6, 2021
License
008310 (KY)

Practice Information

Address
6008 BROWNSBORO PARK BLVD
LOUISVILLE, KY, 402071295
Browse KY providers · Browse ZIP 40207
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LOUISVILLE, KY

Name Credential NPI
ROBERT J POWRIE PT 1316947013
MARY SUSAN DUNN PT 1003802802
CAROLYN N PARRACK PT 1952398968
KRISTIN LEIGH FLEIDER-ZOPH PT 1609863695
HOLLY DANIELLE HABEEB MS PT 1225027444
ROBERT ROBERTS PT 1649260456
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.