Mr. Jacob Ray Sprute
Physical Therapist - Geriatrics
413 E Tremaine Ave
Gilbert
, Arizona 85234-4623
Mr. Jacob Ray Sprute
Physical Therapist - Geriatrics
413 E Tremaine Ave
Gilbert
, Arizona 85234-4623
(509) 280-4474
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Jacob Ray Sprute
- 801 W Gleneagles Dr
- Phoenix, AZ
- Zip : 85023-5254
- Phone : (509) 280-4474
Second Address
- Mr. Jacob Ray Sprute
- 413 E Tremaine Ave
- Gilbert, AZ
- Zip : 85234-4623
- Phone : (602) 295-5040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 9445 | AZ |
National Provider Identifier
| NPI | 1184981318 |
|---|---|
| Provider Name | Mr. Jacob Ray Sprute |
| First Address | Phoenix, AZ 85023-5254 |
| Second Address | Gilbert, AZ 85234-4623 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.