Individual
JESSE DE ROOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5765 LITTLEROCK RD SW STE 107, TUMWATER, WA 98512-7311
(564) 999-4146
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65999
OR
225100000X
Physical Therapist
CP054655T
WA
225100000X
Physical Therapist
PT.PT.70114277-CP
WA
Other
Enumeration date
03/24/2026
Last updated
04/01/2026
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