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

JACOB LOGAN HACKER, PT, DPT

Active

JACOB LOGAN HACKER, PT, DPT is a Physical Therapy Assistant healthcare provider located in CAMP HUMPHREYS, GYEONGGI-DO. NPI 1770364150 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CAMP HUMPHREYS, GYEONGGI-DO

Registration Details

NPI Number
1770364150
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2023 (2.8364344608016 yrs)
Last Updated
Jan 31, 2024
License
1384176 (TX)

Practice Information

Address
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)
UNIT 15245 APO, AP 96271
CAMP HUMPHREYS, GYEONGGI-DO, 96271
Browse GYEONGGI-DO providers · Browse ZIP 96271
Phone
5134163897
Primary Specialty
Physical Therapy Assistant
225100000X
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.