Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Ethan Guertin

Individual provider Physical Therapy Assistant · NPI 1205583846

Jacob Ethan Guertin is a Physical Therapy Assistant in Pecos, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

2323 Texas St
Pecos, TX 79772-7338
Phone: (432) 447-3551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1264 Walden Oaks Dr Apt C, Woodstock, IL 60098-4073 — (815) 708-9685

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160009521 (IL)

Record details

NPI number1205583846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address1264 Walden Oaks Dr Apt C, Woodstock, IL 60098-4073

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