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

Jacob Pattillo, ATC

Individual provider Athletic Trainer · NPI 1891129912

Jacob Pattillo, ATC is an Athletic Trainer in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

233 W Montrose Ave
Salt Lake City, UT 84101-2722
Phone: (801) 209-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 8385126-4810 (UT)

Record details

NPI number1891129912
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 26, 2013
Last updated in NPPESAugust 26, 2013

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