Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RILEY PROFFER, DAT
ActiveJACOB RILEY PROFFER, DAT is a Athletic Trainer healthcare provider located in BATON ROUGE, Louisiana. NPI 1811404171 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BATON ROUGE, LA
Registration Details
- NPI Number
- 1811404171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2018 (8.6076594300313 yrs)
- Last Updated
- Sep 26, 2024
- Licenses
-
36003343A (IN)AL6250 (FL)337524 (LA)
Practice Information
- Address
-
12400 BURBANK DRBATON ROUGE, LA, 70810Browse LA providers · Browse ZIP 70810
- Phone
- 2259242157
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| MR. RALPH RAY CASTLE | ATC, LAT | 1477540979 |
| MS. ANNA LOUSIE ROETKER | ATC | 1043277320 |
| MISS JESSICA MARIE SANCHES | M.S., ATC | 1952368235 |
| MELISSA DEEN THOMPSON | ATC | 1013953355 |
| MR. KEITH ERIC THOMPSON | ATC, CSCS | 1972534675 |
| MR. MATTHEW DEAN SMITH | ATC | 1538189790 |
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.