National Provider Identifier
Jacob E. Blaine, MS, PT
Jacob E. Blaine, MS, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 277-8020.
Profile Overview
- NPI
- 1649422155
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 15, 2008
- Last Updated
- October 15, 2008
Practice Location
- 1001 W Seneca St
- Ithaca, NY 14850-3342
Phone: (607) 277-8020
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1649422155
- Entity Type
- Individual
- Last Name
- Blaine
- First Name
- Jacob
- Middle Name
- E.
- Credential
- MS, PT
- Mailing Street Address
- 1001 W Seneca St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3342
- Mailing Country
- US
- Mailing Phone
- (607) 277-8020
- Mailing Fax
- (607) 277-7961
- Practice Street Address
- 1001 W Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3342
- Practice Country
- US
- Practice Phone
- (607) 277-8020
- Practice Fax
- (607) 277-7961
- Enumeration Date
- October 15, 2008
- Last Updated
- October 15, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)