Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Cameron Shell

Individual provider Athletic Trainer · NPI 1558889162

Jacob Cameron Shell is an Athletic Trainer in Gladwin, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
3

Practice location Address checks out

4403 Betty Lee Blvd
Gladwin, MI 48624
Phone: (989) 329-8460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501302669 (MI)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558889162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2017
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address4403 Betty Lee Blvd, Gladwin, MI 48624

Other providers in Gladwin