Jacob Robert Powell, ATC
NPI #1487107231 in Swampscott, Massachusetts
Provider Information
- NPI Number
- 1487107231
- Entity Type
- Individual
- Name
- Jacob Robert Powell, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 28, 2016
- Last Updated
- Jun 20, 2017
Practice Location
- Address
- 70 FULLER AVE
- City
- Swampscott
- State
- Massachusetts
- ZIP Code
- 01907-2150
- Phone
- (781) 913-6120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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