Timothy Jacques, ATC
NPI #1689624694 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1689624694
- Entity Type
- Individual
- Name
- Timothy Jacques, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 760 COOPER ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-2177
- Phone
- (413) 246-2271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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