Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LOUIS DURHAM, PTA
Active Sole ProprietorJACOB LOUIS DURHAM, PTA is a Occupational Therapist healthcare provider located in JACKSON, Wyoming. NPI 1740024223 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · JACKSON, WY
Registration Details
- NPI Number
- 1740024223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2024 (2.1069043648867 yrs)
- Last Updated
- Jun 20, 2024
- License
-
PTA1135 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
555 E BROADWAY AVE STE 100JACKSON, WY, 830018640Browse WY providers · Browse ZIP 83001
- Phone
- 3077397491
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN L SLADE | PTA | 1720151285 |
| JARED TRAVIS MARTIN | — | 1942784806 |
| JAMIE LOOMIS | — | 1891270500 |
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.