Individual
JACOB RYAN COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(405) 210-8174
Mailing address
2700 AVONDALE RD, VINCENNES, IN 47591-6704
(405) 210-8174
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30011861A
IN
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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