IndividualActive
Jacob Whitacre, ATC, LAT
NPI 1902305642 · Athletic Trainer · Morrow, OH
Provider details
- NPI number
- 1902305642
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8400 Debold Koebel Rd
Morrow, OH 45152-8333
Phone: (513) 532-8581
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Debold Koebel Rd
Morrow, OH 45152-8333
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.