Jacob Kohl
NPI #1508236894 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1508236894
- Entity Type
- Individual
- Name
- Jacob Kohl
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Oct 11, 2016
Practice Location
- Address
- 3858 W BROADWAY AVE
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2208
- Phone
- (555) 555-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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