JACOB TANNER, MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1871016105

Practice Address

1054 TOWN AND FOUR PARKWAY DR
Creve Coeur, MO 63141

Phone: (314) 803-7792

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 2015026272 (MO)

Frequently Asked Questions

NPI 1871016105 is the National Provider Identifier for JACOB TANNER, MS, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in Creve Coeur, MO. This NPI was enumerated on July 19, 2017.
JACOB TANNER, MS, ATC, LAT practices at 1054 TOWN AND FOUR PARKWAY DR, Creve Coeur, MO 63141.

Quick Facts

NPI
1871016105
Type
Individual
Enumerated
Jul 19, 2017
Last Updated
Aug 3, 2017

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