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Contact Information

JACOB OLIVAS, PT, DPT
3901 CAPITAL MALL DR SW STE D
OLYMPIA, WA98502-8654
 Phone: 360-709-6221
 Fax: 360-359-4727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACOB OLIVAS · (Male)

NPI Number 1114658424
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 06/19/2022
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MT License # 24370
  • WA License # PT61544267
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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