SearchColoradoPhysical Therapy Assistant

Jacob Chavez, PTA

NPI 1093538134 · on the registry since 2024

Practice

Address
901 N Santa Fe Ave
Fountain, CO 80817
Phone
(719) 822-0550
Organisation at this address
Buck Jack Llc
Buck Jack Llc
Buck Jack Llc
Buck Jack Llc
Buck Jack, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado