Individual
JACOB KYLE RASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
4125 MEDINA RD # FC, AKRON, OH 44333-2483
(330) 219-2741
Mailing address
3447 LEIBY OSBORNE RD, SOUTHINGTON, OH 44470-9729
(330) 219-2741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019274
OH
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
09/06/2017
Last updated
11/29/2022
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