Jacob Glenn Parish, ATC
NPI #1083100994 in Springfield, Illinois
Provider Information
- NPI Number
- 1083100994
- Entity Type
- Individual
- Name
- Jacob Glenn Parish, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 3, 2018
- Last Updated
- Jul 3, 2018
Practice Location
- Address
- 3631 S 6TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-4777
- Phone
- (217) 744-7529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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