NPI 1023541927

Jacob Andrew Davis

Practitioner Rehabilitation Practitioner Rockford, MI

Practice location

Address: 304 Glen Carin Dr NE, Rockford, MI 49341-9395
Phone: (616) 481-1357

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1023541927
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2017
Record last updated: 6 Apr 2017

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.