Individual provider · Type 1 NPI
Jacob Steven Laverman
Sports Physical Therapist · Bloomington, IN
Practice location
1001 E 17th St
Bloomington, IN 47408-1590
Mailing address
7151 Hatteras Ln Apt 1D
Indianapolis, IN 46214-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 36002972A (IN) |
| Sports Physical Therapist Primary | 2251S0007X | 05012967A (IN) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
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About NPI 1528525920
Jacob Steven Laverman's National Provider Identifier is 1528525920, issued on Feb 22, 2019. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Bloomington, IN. The record was last updated on Aug 10, 2020.