NPI 1205216082

Jake Broscha

Practitioner Physical Therapy Assistant Centerville, SD

Practice location

Address: 500 Vermillion St, Centerville, SD 57014-2168
Phone: (605) 563-2251
Mailing address: 805 E 15th St APT 304, Yankton, SD 57078-5010

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0430 (SD)

Other Physical Therapy Assistant providers in South Dakota →

Registry record

NPI: 1205216082
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

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.