Jesse De Roover
Physical Therapist in Tumwater, WA. Individual provider (NPI-1).
NPI number1386582963
StatusActive
Last updated in NPPESApr 1, 2026
Details
- NPI
- 1386582963
- Entity type
- Individual (NPI-1)
- Name
- Jesse De Roover
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2026
- Certification date
- Apr 1, 2026
- Last updated
- Apr 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 65999 | OR | Yes |
| 225100000X | Physical Therapist | CP054655T | WA | |
| 225100000X | Physical Therapist | PT.PT.70114277-CP | WA |
Practice location
5765 Littlerock Rd Sw Ste 107Tumwater, WA 98512-7311
Phone 564-999-4146
Mailing address
1200 Corporate Dr Ste 400Hoover, AL 35242-5424
Phone 423-238-7217
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All 47 Physical Therapist providers in Tumwater · All 1,006 providers in Tumwater
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