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

Mr. Jacob Lee Waldron

Individual provider Athletic Trainer · NPI 1063815959

Mr. Jacob Lee Waldron is an Athletic Trainer in Scottsdale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

7555 N Pima Rd
Scottsdale, AZ 85258-4013
Phone: (815) 514-0723
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063815959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2014
Last updated in NPPESJune 11, 2022
Certification dateJune 11, 2022

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