Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB CASEBOLT, AT
ActiveJACOB CASEBOLT, AT is a Athletic Trainer healthcare provider located in POCATELLO, Idaho. NPI 1184162836 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · POCATELLO, ID
Registration Details
- NPI Number
- 1184162836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2017 (9.493456951384 yrs)
- Last Updated
- Jul 12, 2019
- License
-
AT-672 (ID)
Practice Information
- Address
-
109 TAFT AVEPOCATELLO, ID, 832015108Browse ID providers · Browse ZIP 83201
- Phone
- 2087055038
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CAROLINE E FAURE | ED.D.; ATC | 1750314258 |
| MR. BRENT M. FAURE | MS, ATC | 1649295825 |
| RACHEL ERIN GEOGHEGAN | ATC | 1326340324 |
| DOUGLAS FIELD ASHTON | ATC | 1780963108 |
| ADAM SCOTT HUFFIELD | ATC, CSCS | 1871931477 |
| MICAH MOEAI | M.S., ATC | 1306285598 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.