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NPI Code Detail

MEDICARE: JACOB MICHAEL JEPPSON DPT, PT

MEDICARE:   JACOB MICHAEL JEPPSON  DPT, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistLPT-034616AZ

General Provider Information

NPI Number : 1972462646
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB MICHAEL JEPPSON DPT, PT
Provider Business Mailing Address
First Line : 2850 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1910
Country : US
Telephone Number : 520-488-5291
Fax Number : 520-689-6810
Provider Business Practice Location Address
First Line : 3988 E FORT LOWELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1010
Country : US
Telephone Number : 520-488-5291
Fax Number : 520-689-6810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ JACOB MICHAEL JEPPSON DPT, PT” Practice Location

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