Jacob Thomas Whitacre, ATC, LAT

NPI #1902305642 in Morrow, Ohio

Provider Information

NPI Number: 1902305642
Entity Type: Individual
Name: Jacob Thomas Whitacre, ATC, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC, LAT
Enumeration Date: Feb 8, 2018
Last Updated: Jan 30, 2024

Practice Location

Address: 8400 DEBOLD KOEBEL RD
City: Morrow
State: Ohio
ZIP Code: 45152-8333
Phone: (513) 532-8581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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