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Jacob Blackmer, DPT

Physical Therapist in Ludington, MI. Individual provider (NPI-1).

NPI number1982102786
StatusActive
Last updated in NPPESMar 27, 2025

Details

NPI
1982102786
Entity type
Individual (NPI-1)
Name
Jacob Blackmer
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2018
Certification date
Mar 27, 2025
Last updated
Mar 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501018526MIYes

Practice location

324 S James St
Ludington, MI 49431-2106

Phone 231-923-6349

Mailing address

1098 Ann Arbor Rd W Ste 666
Plymouth, MI 48170-2129

Phone 231-923-6349

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