Jacob Casebolt, AT
Jacob Casebolt, AT is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Works from 2 locations. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
109 Taft AvePocatello, ID 83201-5108
Phone: (208) 705-5038
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1307 E Broadway St., Missoula, MT 59801 — (406) 207-3045
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT-672 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1184162836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AT |
| Sole proprietor | No |
| NPI enumerated | February 2, 2017 |
| Last updated in NPPES | July 12, 2019 |
| Mailing address | 109 Taft Ave, Pocatello, ID 83201-5108 |
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