Search › Minnesota › 225100000X
Jacob Harle, DPT, ATC
NPI 1740779057 · on the registry since 2018
Practice
- Address
- 30 Fairview Ave S Ste 200
Saint Paul, MN 55105 - Phone
- (952) 835-4512
- Organisation at this address
- Grand St Paul Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 208100000X
2255A2300X - Licence states on file
- MN, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-14
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 Minnesota