Jake Paul
Physical Therapist in Grosse Pointe Woods, MI. Individual provider (NPI-1).
NPI number1225988959
StatusActive
Last updated in NPPESMay 7, 2026
Details
- NPI
- 1225988959
- Entity type
- Individual (NPI-1)
- Name
- Jake Paul
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2026
- Certification date
- May 7, 2026
- Last updated
- May 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501304403 | MI | Yes |
Practice location
20873 Mack AveGrosse Pointe Woods, MI 48236-1313
Phone 313-466-7884 · Fax 313-464-0001
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
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All 15 Physical Therapist providers in Grosse Pointe Woods · All 706 providers in Grosse Pointe Woods
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