SearchVirginia225100000X

Jake Divers, PT, DPT

NPI 1871942961 · on the registry since 2016

Practice

Address
1110 Vinyard Rd
Vinton, VA 24179
Phone
(540) 343-0466
Fax
(540) 345-2261
Clinicians at this address
9

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-09

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 Virginia