IndividualActive
Jacob Laverman
NPI 1528525920 · Sports Physical Therapist · Bloomington, IN
Provider details
- NPI number
- 1528525920
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 36002972A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1001 E 17th St
Bloomington, IN 47408-1590
Phone: (712) 461-0244
Approximate (ZIP-level) locationGet directions
Mailing address
7151 Hatteras Ln Apt 1d
Indianapolis, IN 46214-1267
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2020-08-10
- Certified
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.