MR. Jacob Walton Lewis, LAT, ATC, CKTP
NPI #1649916578 in Eight Mile, Alabama
Provider Information
- NPI Number
- 1649916578
- Entity Type
- Individual
- Name
- MR. Jacob Walton Lewis, LAT, ATC, CKTP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC, CKTP
- Enumeration Date
- May 12, 2022
- Last Updated
- May 12, 2022
Practice Location
- Address
- 5735 COLLEGE PKWY
- City
- Eight Mile
- State
- Alabama
- ZIP Code
- 36613-2842
- Phone
- (251) 442-2561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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