IndividualActive
Jacob Bartz-Broussard, PT, DPT
NPI 1386218352 · Physical Therapist · Lincoln, ME
Provider details
- NPI number
- 1386218352
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT5929 (ME)
Mailing address
928 Courthouse Rd Unit 22
Gulfport, MS 39507-4111
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.