Jace Depriest
Physical Therapist in Sandston, VA. Individual provider (NPI-1).
NPI number1538097530
StatusActive
Last updated in NPPESMay 11, 2026
Details
- NPI
- 1538097530
- Entity type
- Individual (NPI-1)
- Name
- Jace Depriest
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2026
- Certification date
- May 11, 2026
- Last updated
- May 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
312 Green Hollow LnSandston, VA 23150-2153
Phone 804-759-5005
Mailing address
312 Green Hollow LnSandston, VA 23150-2153
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