Jacob Anthony Huddleston
Jacob Anthony Huddleston is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
4873 E 12th StTucson, AZ 85711-3603
Phone: (310) 259-1861
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (AZ) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (AZ) |
Record details
| NPI number | 1003760547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2026 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
| Mailing address | 272 White Bark Ln, Simi Valley, CA 93065-4989 |
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