Jacob Vanlue
Jacob Vanlue is an Athletic Trainer in Grabill, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
13411 Indiana StGrabill, IN 46741-9435
Phone: (260) 443-9454
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639802069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 4, 2022 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | May 22, 2024 |
| Mailing address | Po Box 203, Grabill, IN 46741-0203 |