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

Mr. Jacob Tyler Depew, MS, ATC, LAT, PES

Individual provider Athletic Trainer · NPI 1033402474

Mr. Jacob Tyler Depew, MS, ATC, LAT, PES is an Athletic Trainer in High Point, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

833 Montlieu Ave
High Point, NC 27262-4221
Phone: (336) 841-4500
Fax: (336) 841-9182
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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 1828 (NC)

Record details

NPI number1033402474
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , PES
Sole proprietorYes
NPI enumeratedMay 18, 2011
Last updated in NPPESMay 18, 2011

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