NPI 1124706809 · live from the CMS NPI Registry
Jacob Adkins
Physical Therapist in Saint Joseph, MO. National Provider Identifier 1124706809, active.
NPI record
| NPI | 1124706809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5325 Faraon St, Saint Joseph, MO 64506 |
| Practice phone | 816-271-6000 |
| Mailing address | 2201 Ne 94th Ct, Vancouver, WA 98664 |
| Enumerated | July 11, 2023 |
| Last updated | July 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT61068020 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.