NPI 1003537416
Jacob Christopher Burggraff, PTDPT
Practice location
- Address
- 7409 NE Hazel Dell Ave STE 112, Vancouver, WA 98665-8337
- Phone
- (360) 597-4048
- Mailing address
- 1940 S Bonito Way STE 190, Meridian, ID 83642-5618
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003537416
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Sep 2022
- Record last updated
- 1 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.