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

Jacob Tracy Grover

Individual provider Physical Therapist · NPI 1952186314

Jacob Tracy Grover is a Physical Therapist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

500 W Aqua Ave
Coeur D Alene, ID 83815-7764
Phone: (208) 762-1122
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-8828 (ID)

Record details

NPI number1952186314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

Other providers in Coeur D Alene