IndividualActive
Jacob Fancher
NPI 1104461367 · Rehabilitation Counselor · Edmonton, KY
Provider details
- NPI number
- 1104461367
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
112 Sartin Dr
Edmonton, KY 42129-8170
Phone: (270) 901-5000
Fax: (270) 842-5268
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Registry dates
- Enumerated
- 2019-11-12
- Last updated
- 2019-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.