Jacob Proffit, DPT, ATC

NPI #1154185148 in Logan, Utah

Provider Information

NPI Number: 1154185148
Entity Type: Individual
Name: Jacob Proffit, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, ATC
Enumeration Date: Feb 9, 2024
Last Updated: Feb 9, 2024

Practice Location

Address: 209 W 300 N
City: Logan
State: Utah
ZIP Code: 84321-3809
Phone: (435) 716-8535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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