Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB FARLEY TANNER, MS, ATC, LAT
Active Sole ProprietorJACOB FARLEY TANNER, MS, ATC, LAT is a Athletic Trainer healthcare provider located in CREVE COEUR, Missouri. NPI 1871016105 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CREVE COEUR, MO
Registration Details
- NPI Number
- 1871016105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2017 (9.0351029790141 yrs)
- Last Updated
- Aug 3, 2017
- License
-
2015026272 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1054 TOWN AND FOUR PARKWAY DRCREVE COEUR, MO, 63141Browse MO providers · Browse ZIP 63141
- Phone
- 3148037792
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CREVE COEUR, MO
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN JEROME BARRETT | MS, ATC, CES | 1205870433 |
| MR. NATHANIEL LARUE BURNEY | ATC | 1760756126 |
| BENJAMIN HICKS | MS, ATC | 1114315140 |
| MS. LINDSEY SUMNER KNAPP | ATC | 1124418603 |
| JOSEPH PAULSON DEMOSTHENE | MS, ATC,EMT-B, CPT | 1285089607 |
| DANIEL HERRIN | ATC, LAT | 1497293435 |
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.