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

Jacob Lynn Christofferson

Individual provider Athletic Trainer · NPI 1083125421

Jacob Lynn Christofferson is an Athletic Trainer in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

8801 Hunters Lake Dr Apt 1012
Tampa, FL 33647-2859
Phone: (801) 633-3409
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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 number1083125421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2017
Last updated in NPPESOctober 12, 2017
Mailing address8801 Hunters Lake Dr Apt 1012, Tampa, FL 33647-2859

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