Jacob Gravenkamp
Jacob Gravenkamp is a Clinical Exercise Physiologist in Brookfield, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
21345 Clearfield CtBrookfield, WI 53045-3917
Phone: (262) 312-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Exercise Physiologist (primary) | Taxonomy 224Y00000X |
|---|
Record details
| NPI number | 1902548225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2022 |
| Last updated in NPPES | April 7, 2022 |
| Certification date | April 7, 2022 |
| Mailing address | 21345 Clearfield Ct, Brookfield, WI 53045-3917 |