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

Jacobus Blom

Individual provider Physical Therapist · NPI 1114301843

Jacobus Blom is a Physical Therapist in Manchester, Maine. Licensed in Maine. Registered with an NPI since 2015.

Licensed in
ME
In the registry since
2015

Practice location Address checks out

40 Granite Hill Rd
Manchester, ME 04351-3513
Phone: (207) 626-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2764 (ME)

Record details

NPI number1114301843
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2015
Last updated in NPPESJuly 13, 2015
Mailing address40 Granite Hill Rd, Manchester, ME 04351-3513

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