Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ROSE JACOBY, PTA
ActiveSAMANTHA ROSE JACOBY, PTA is a Occupational Therapist healthcare provider located in MAYVILLE, Wisconsin. NPI 1780187088 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MAYVILLE, WI
Registration Details
- NPI Number
- 1780187088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2018 (8.3981173108842 yrs)
- Last Updated
- Mar 13, 2018
Practice Information
- Address
-
305 S CLARK STMAYVILLE, WI, 530501488Browse WI providers · Browse ZIP 53050
- Phone
- 9203870354
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MAYVILLE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. DARLA LYNNE SCHULTZ | PTA | 1467674242 |
| MRS. ROBIN MARIE WANKOWSKI | PTA | 1134332679 |
| SHEENA RICHMOND | — | 1952648537 |
| DANIEL FRENETTE | — | 1134564628 |
| SARA WAGNER | PTA | 1144765652 |
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.