| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACK THOMAS KOBYLKA | 1851122998 | 2024-08-10 |
Jack Thomas Kobylka is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851122998. Registration indicates Jack Thomas Kobylka is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Jack Thomas Kobylka PT, DPT |
| Practice Office Address | 2821 NW MARKET ST STE B SEATTLE, WA US |
| Practice Office Telephone | 2067060063 |
| Mailing Address | 1613 MCKINLEY RD NAPA, CA 945582009 US |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT61574051
WA |