National Provider Identifier

Jesse Casper

Jesse Casper is listed in the NPPES registry with a primary specialty of Health & Wellness Coach in Rochester, NY and a listed phone number of (585) 802-1725.

NPI 1659108991Rochester, NYHealth & Wellness Coach

Profile Overview

NPI
1659108991
Provider Type
Individual
Primary Specialty
Health & Wellness Coach
Enumeration Date
September 19, 2024
Last Updated
September 19, 2024

Practice Location

  • 1736 Mount Hope Ave
  • Rochester, NY 14620-4546

Phone: (585) 802-1725

Mailing Address

  • 248 Norman RD
  • Rochester, NY 14623-1156

Specialties

  • Health & Wellness Coach (171400000X)
Full Record
NPI
1659108991
Entity Type
Individual
Last Name
Casper
First Name
Jesse
Mailing Street Address
248 Norman RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-1156
Mailing Country
US
Mailing Phone
(585) 802-1725
Practice Street Address
1736 Mount Hope Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4546
Practice Country
US
Practice Phone
(585) 802-1725
Enumeration Date
September 19, 2024
Last Updated
September 19, 2024
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Health & Wellness Coach (171400000X)