Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB THOMAS WHITACRE, ATC, LAT
ActiveJACOB THOMAS WHITACRE, ATC, LAT is a Athletic Trainer healthcare provider located in MORROW, Ohio. NPI 1902305642 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MORROW, OH
Registration Details
- NPI Number
- 1902305642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2018 (8.473971574383 yrs)
- Last Updated
- Jan 30, 2024
- License
-
AT1822 (KY)
Practice Information
- Address
-
8400 DEBOLD KOEBEL RDMORROW, OH, 451528333Browse OH providers · Browse ZIP 45152
- Phone
- 5135328581
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
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.