NPI 1154095578

Jacob Lee Mundy

Practitioner Physical Therapist Jasper, IN

Practice location

Address: 1900 Saint Charles St, Jasper, IN 47546-9145
Phone: (812) 639-9216
Mailing address: 1550 Timber Line Dr, Huntingburg, IN 47542-8001

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 05014242A (IN)

Other Physical Therapist providers in Indiana →

Registry record

NPI: 1154095578
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2021
Record last updated: 9 Aug 2021

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.