IndividualActive
Jacob Halmrast, DPT
NPI 1609607142 · Sports Physical Therapist · Costa Mesa, CA
Provider details
- NPI number
- 1609607142
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 306578 (CA)
Mailing address
2777 Bristol St
Costa Mesa, CA 92626-5997
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.