IndividualActive
Jessica Jacobs
NPI 1609581487 · Athletic Trainer · Arp, TX
Provider details
- NPI number
- 1609581487
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT9454 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 Toney Dr
Arp, TX 75750-5024
Phone: (903) 859-4917
Approximate (ZIP-level) locationGet directions
Mailing address
2051 W Cumberland Rd Apt 811
Tyler, TX 75703-7855
Registry dates
- Enumerated
- 2023-01-17
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.