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JACOB EDWARD ANDERSON MS, ATC, OTC, SA-C

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer

Provider NPI: 1053585828

Provider Information:
 JACOB EDWARD ANDERSON MS, ATC, OTC, SA-C
Gender: M
Not Sole Proprietor

Practice Location:
206 BEDFORD WAY  FRANKLIN, TN 37064-5526 US
Tel: 615-595-6436  Fax: 615-261-2067

Business Mailing Address:
206 BEDFORD WAY  FRANKLIN, TN 37064-5526 US
Tel: 321-271-5548  Fax: --

NPI Information:
NPI: 1053585828
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
N246ZC0007XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2255A2300X

Type:

Classification:



Definition:



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