Jacob Casebolt, AT
NPI #1184162836 in Pocatello, Idaho
Provider Information
- NPI Number
- 1184162836
- Entity Type
- Individual
- Name
- Jacob Casebolt, AT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- AT
- Enumeration Date
- Feb 2, 2017
- Last Updated
- Jul 12, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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