Provider Demographics
NPI:1609200062
Name:GIRLINGHOUSE, JACOB (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:GIRLINGHOUSE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 N HIGHWAY 77
Mailing Address - Street 2:SUITE 700
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1885
Mailing Address - Country:US
Mailing Address - Phone:972-938-3311
Mailing Address - Fax:
Practice Address - Street 1:4928 SAMUELL BLVD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1027
Practice Address - Country:US
Practice Address - Phone:214-328-1400
Practice Address - Fax:214-328-2884
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1233832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist