Jacob Louis Durham, PTA
Physical Therapy Assistant · Jackson, WY
Practice location
555 E Broadway Ave Ste 100Jackson, WY 83001-8640
- Phone
- (307) 739-7491
NPI record
- NPI
- 1740024223
- Entity type
- Individual (Type 1)
- Enumeration date
- June 20, 2024
- Last updated
- June 20, 2024
- Certified
- June 20, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
PTA1135 | WY |
About Jacob Durham
Jacob Louis Durham, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 555 E Broadway Ave Ste 100, Jackson, WY 83001-8640. The NPI number 1740024223 was assigned on June 20, 2024 and the record was last updated on June 20, 2024.
Jacob Durham lists a license in the registry: #PTA1135 (WY) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacob Louis Durham, PTA?
The NPI number is 1740024223.
What is the phone number of Jacob Durham?
The phone number listed for the practice location is (307) 739-7491.
Where is Jacob Durham located?
555 E Broadway Ave Ste 100, Jackson, WY 83001-8640.
What is the taxonomy code for Jacob Durham?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapy Assistant providers in Jackson
- Kathleen L. Slade, PTA1090 S Highway 89
- Jamie Loomis625 E Broadway Ave
- Jared Travis Martin625 E Broadway Ave