National Provider Identifier

Jacob Tyler Damcott, DPT

Jacob Tyler Damcott, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Westfield, NY and a listed phone number of (716) 793-2231.

NPI 1174093736Westfield, NYOrthopedic Physical Therapist

Profile Overview

NPI
1174093736
Provider Type
Individual
Primary Specialty
Orthopedic Physical Therapist
Enumeration Date
November 27, 2018
Last Updated
November 27, 2018

Practice Location

  • 189 East Main Street
  • Westfield, NY 14787

Phone: (716) 793-2231

Mailing Address

  • 9712 Ne Sherman RD
  • Ripley, NY 14775

Specialties

  • Orthopedic Physical Therapist (2251X0800X)
Full Record
NPI
1174093736
Entity Type
Individual
Last Name
Damcott
First Name
Jacob
Middle Name
Tyler
Credential
DPT
Mailing Street Address
9712 Ne Sherman RD
Mailing City
Ripley
Mailing State
NY
Mailing ZIP Code
14775
Mailing Country
US
Mailing Phone
(716) 499-0228
Mailing Fax
(716) 793-2257
Practice Street Address
189 East Main Street
Practice City
Westfield
Practice State
NY
Practice ZIP Code
14787
Practice Country
US
Practice Phone
(716) 793-2231
Enumeration Date
November 27, 2018
Last Updated
November 27, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopedic Physical Therapist (2251X0800X)