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

Jacob Thomas Whitacre, ATC, LAT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902305642

Jacob Thomas Whitacre, ATC, LAT is a Student in an Organized Health Care Education/Training Program in Morrow, Ohio. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

8400 Debold Koebel Rd
Morrow, OH 45152-8333
Phone: (513) 532-8581
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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 AT1822 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1902305642
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedFebruary 8, 2018
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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