Mr Jacob Christian Harle, DPT, ATC | |
1120 Tall Grass Ave, Tiffin, IA 52340-4753 | |
(641) 512-4594 | |
Not Available |
Full Name | Mr Jacob Christian Harle |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1120 Tall Grass Ave, Tiffin, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740779057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 109035 (Iowa) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacob Christian Harle, DPT, ATC 210 Village Dr Apt 9, Tiffin, IA 52340-9238 Ph: (641) 512-4594 | Mr Jacob Christian Harle, DPT, ATC 1120 Tall Grass Ave, Tiffin, IA 52340-4753 Ph: (641) 512-4594 |
Melissa Sievers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Tall Grass Ave, Tiffin, IA 52340 Phone: 319-545-2407 Fax: 319-545-4128 | |
Jacob Raecker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 816 Buck St, Tiffin, IA 52340 Phone: 319-464-5410 | |
Dr. Jordan Matthew Barrera, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Tall Grass Ave, Tiffin, IA 52340 Phone: 319-209-6548 | |
Mr. Leonard Paul Roggeveen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 Redbird Run, Tiffin, IA 52340 Phone: 319-430-4960 |