Individual
JERROD ACKERMAN
Active
Individual
JERROD ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3702
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327602
WA L&I
ID
01
—
0327604
WA L&I
ID
01
—
0327610
WA L&I
ID
01
—
0327611
WA L&I
ID
01
—
0330328
WA L&I
ID
05
—
1487067005
—
ID
Enumeration date
06/11/2014
Last updated
12/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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