Jacob Etherton
Jacob Etherton is an Athletic Trainer in Indianapolis, Indiana. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
8142 Grassy Meadow LnIndianapolis, IN 46259-7721
Phone: (317) 513-9282
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1427448224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 31, 2015 |
| Last updated in NPPES | January 31, 2015 |
| Mailing address | 8142 Grassy Meadow Ln, Indianapolis, IN 46259-7721 |
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