Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB WALTON LEWIS, LAT, ATC, CKTP
Active Sole ProprietorMR. JACOB WALTON LEWIS, LAT, ATC, CKTP is a Athletic Trainer healthcare provider located in EIGHT MILE, Alabama. NPI 1649916578 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EIGHT MILE, AL
Registration Details
- NPI Number
- 1649916578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2022 (4.2271598144671 yrs)
- Last Updated
- May 12, 2022
- License
-
1523 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5735 COLLEGE PKWYEIGHT MILE, AL, 366132842Browse AL providers · Browse ZIP 36613
- Phone
- 2514422561
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.