NPI 1326456468

Jacob Marlow, PTA

Practitioner Physical Therapy Assistant Laramie, WY

Practice location

Address: 503 S 18th St, Laramie, WY 82070-4303
Phone: (307) 742-3728

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-0829 (WY)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1326456468
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.