IndividualActive
Jacob Gravenkamp
NPI 1902548225 · Clinical Exercise Physiologist · Brookfield, WI
Provider details
- NPI number
- 1902548225
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21345 Clearfield Ct
Brookfield, WI 53045-3917
Phone: (262) 312-0671
Approximate (ZIP-level) locationGet directions
Mailing address
21345 Clearfield Ct
Brookfield, WI 53045-3917
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.