Individual
JACOB BOESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Mailing address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP032830T
WA
225100000X
Physical Therapist
CP0369TT1
CO
225100000X
Physical Therapist
CP046626T
OH
225100000X
Physical Therapist
Primary
PT.PT.61590626-CP
WA
Other
Enumeration date
01/05/2021
Last updated
04/08/2026
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