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JACOB GRAVENKAMP
NPI 1902548225
Clinical Exercise Physiologist in Brookfield, WI

Active since April 07, 2022
21345 CLEARFIELD CT, BROOKFIELD, WI 53045(262) 312-0671 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Gravenkamp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GRAVENKAMP (NPI 1902548225) is an individual clinical exercise physiologist provider in Brookfield, Wisconsin and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1902548225
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameJACOB GRAVENKAMP
Location Address21345 CLEARFIELD CTBrookfield, WI 53045-3917
Mailing Address21345 Clearfield CtBrookfield, WI 53045-3917 · (262) 312-0671
Phone(262) 312-0671
Sole ProprietorYes
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1902548225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
21345 CLEARFIELD CT, Brookfield, WI 53045
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Gravenkamp's NPI number?

The NPI number for Jacob Gravenkamp is 1902548225. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Jacob Gravenkamp located?

Jacob Gravenkamp practices at 21345 Clearfield Ct, Brookfield, WI 53045. The listed phone number is (262) 312-0671.

What is Jacob Gravenkamp's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Jacob Gravenkamp was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.