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

Vivian Jacobo

Individual provider Athletic Trainer · NPI 1255214359

Vivian Jacobo is an Athletic Trainer in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

1 W Firestorm Way
Glendale, AZ 85306-3216
Phone: (602) 489-5300
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-100217 (AZ)

Record details

NPI number1255214359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address49128 Pluma Gris Pl, Coachella, CA 92236-5485

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