MS. Mary E Jacobs, ATC, LAT

NPI #1801880414 in Marion, Indiana

Provider Information

NPI Number
1801880414
Entity Type
Individual
Name
MS. Mary E Jacobs, ATC, LAT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Sep 9, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4201 S WASHINGTON ST
City
Marion
State
Indiana
ZIP Code
46953-4974
Phone
(765) 677-1675

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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