Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MUTHOLAM, PT, DPT
ActiveJACOB MUTHOLAM, PT, DPT is a Physical Therapy Assistant healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1801828272 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PALOS HEIGHTS, IL
Registration Details
- NPI Number
- 1801828272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.059580647976 yrs)
- Last Updated
- Mar 20, 2013
- License
-
070-004073 (IL)
Practice Information
- Address
-
6400 W COLLEGE DRSUITE 800PALOS HEIGHTS, IL, 604631785Browse IL providers · Browse ZIP 60463
- Phone
- 7084896777
- Fax
- 7084896303
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PALOS HEIGHTS, IL
| Name | Credential | NPI |
|---|---|---|
| JAMES J BEESE | P.T. | 1760422844 |
| PATRICK S BLAIR | PT | 1003847328 |
| BOBBY L KALLADANTHYIL | MPT | 1699790618 |
| DEBORAH MANCARI | PT | 1396855003 |
| JULIE MATY | MS,PT | 1871683698 |
| KATHERINE WAX | PT | 1710077557 |
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.