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

Jesse Tae Dykstra

Individual provider Physical Therapy Assistant · NPI 1639870025

Jesse Tae Dykstra is a Physical Therapy Assistant in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2023.

Licensed in
MT
In the registry since
2023

Practice location Address checks out

1500 32nd St S
Great Falls, MT 59405-5300
Phone: (406) 761-4300
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTP-PTA--LIC-8123 (MT)

Record details

NPI number1639870025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address1501 Spruce Ct, Great Falls, MT 59405-6205

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