IndividualActive
Jake Broscha
NPI 1205216082 · Physical Therapy Assistant · Centerville, SD
Provider details
- NPI number
- 1205216082
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0430 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
500 Vermillion St
Centerville, SD 57014-2168
Phone: (605) 563-2251
Approximate (ZIP-level) locationGet directions
Mailing address
805 E 15th St Apt 304
Yankton, SD 57078-5010
Registry dates
- Enumerated
- 2015-06-05
- Last updated
- 2015-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.