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

Jacob Michael Kucera

Individual provider Occupational Therapist · NPI 1720517071

Jacob Michael Kucera is an Occupational Therapist in Phoenix, Arizona. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017

Practice location Address checks out

7540 N 19th Ave Ste 200
Phoenix, AZ 85021-7967
Phone: (888) 873-4221
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 105353 (MN)

Record details

NPI number1720517071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJune 9, 2017

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