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

Jacob Riley Proffer, DAT

Individual provider Athletic Trainer · NPI 1811404171

Jacob Riley Proffer, DAT is an Athletic Trainer in Baton Rouge, Louisiana. Works from 2 locations. Licensed in Florida, Indiana and Louisiana.

Licensed in
FL, IN, LA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

12400 Burbank Dr
Baton Rouge, LA 70810
Phone: (225) 924-2157
Show map & directions

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

Additional practice locations (1)

  • 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 — (225) 408-7985

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 337524 (LA)
Athletic Trainer Taxonomy 2255A2300X · Licence 36003343A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence AL6250 (FL)

Record details

NPI number1811404171
Entity typeIndividual (Type 1)
GenderMale
Credentials DAT
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 24, 2024

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