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

MR. JIM JACOB, PT

Active

MR. JIM JACOB, PT is a Physical Therapy Assistant healthcare provider located in PLYMOUTH, Indiana. NPI 1790767887 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PLYMOUTH, IN

Registration Details

NPI Number
1790767887
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2005 (20.7032409319 yrs)
Last Updated
Jul 8, 2007
License
05008652A (IN)

Practice Information

Address
900 W JEFFERSON ST
PLYMOUTH, IN, 465631634
Browse IN providers · Browse ZIP 46563
Phone
5749369600
Fax
5749369612
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PLYMOUTH, IN

Name Credential NPI
JOHN EDWARD LAFREE PT ATC 1437159373
MS. ROSALIE M REGEDANZ PT 1235111246
KRISTINE SAYERS PT 1619082518
MRS. KATHARINE H ANDERS PT 1154520161
HAZEL SHERIL TRINIDAD P.T. 1508138009
LAURA MORGAN SCOTT DPT 1851758486
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.