Jacob Gredvig, PT, DPT

NPI #1548832090 in Ashland, Oregon

Provider Information

NPI Number: 1548832090
Entity Type: Individual
Name: Jacob Gredvig, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 14, 2021
Last Updated: Jul 14, 2021

Practice Location

Address: 370 E HERSEY ST STE 1
City: Ashland
State: Oregon
ZIP Code: 97520-2325
Phone: (541) 482-6360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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