Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PENROSE, DPT, CWS
Active Sole ProprietorJACOB PENROSE, DPT, CWS is a Physical Therapy Assistant healthcare provider located in LOGAN, Utah. NPI 1811445216 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOGAN, UT
Registration Details
- NPI Number
- 1811445216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2016 (9.8886569163939 yrs)
- Last Updated
- Sep 14, 2016
- License
-
8076772-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 W 300 NLOGAN, UT, 843213809Browse UT providers · Browse ZIP 84321
- Phone
- 4357168535
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| LORI CHRISTIE OLSEN | — | 1366463259 |
| JOHN D COLE | PT | 1598789448 |
| TRACY WALKER | PT | 1164446019 |
| NATHAN A YOUNG | PT | 1194749036 |
| DOUGLAS W STROMBERG | PT | 1538183470 |
| GEORGE LEE ROSS | PT | 1932123874 |
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.