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

Individual provider Physical Therapy Assistant · NPI 1205311651

Mr. Jacob Ryan Hurlburt, PTA is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6908 N Santa Monica Blvd
Milwaukee, WI 53217-3942
Phone: (414) 352-2082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2839-19 (WI)

Record details

NPI number1205311651
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018

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