Jacolby Thomas Whitaker
Jacolby Thomas Whitaker is an Athletic Trainer in Alto, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
8830 State Highway 21Alto, TX 75925-6018
Phone: (903) 948-1074
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (TX) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1164054482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 8830 State Highway 21, Alto, TX 75925-6018 |