Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB WILLIAM TUCKER, ATC
ActiveMR. JACOB WILLIAM TUCKER, ATC is a Athletic Trainer healthcare provider located in OLNEY, Illinois. NPI 1366672081 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · OLNEY, IL
Registration Details
- NPI Number
- 1366672081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2009 (17.069818272763 yrs)
- Last Updated
- Jul 15, 2009
- License
-
096.002692 (IL)
Practice Information
- Address
-
800 E LOCUST STOLNEY, IL, 624502553Browse IL providers · Browse ZIP 62450
- Phone
- 6183952131
- Fax
- 6183956289
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in OLNEY, IL
| Name | Credential | NPI |
|---|---|---|
| KARI SUE NOHREN | ATC | 1306471578 |
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.