Jacob Vernon Waldecker
Athletic Trainer · Horizon City, TX
Practice location
14651 Horizon BlvdHorizon City, TX 79928-8639
- Phone
- (270) 823-3597
NPI record
- NPI
- 1801549035
- Entity type
- Individual (Type 1)
- Enumeration date
- January 28, 2022
- Last updated
- January 28, 2022
- Certified
- January 28, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT8210 | TX |
About Jacob Waldecker
Jacob Vernon Waldecker is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 14651 Horizon Blvd, Horizon City, TX 79928-8639. The NPI number 1801549035 was assigned on January 28, 2022 and the record was last updated on January 28, 2022.
Jacob Waldecker lists a license in the registry: #AT8210 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacob Vernon Waldecker?
The NPI number is 1801549035.
What is the phone number of Jacob Waldecker?
The phone number listed for the practice location is (270) 823-3597.
Where is Jacob Waldecker located?
14651 Horizon Blvd, Horizon City, TX 79928-8639.
What is the taxonomy code for Jacob Waldecker?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Horizon City
- Lindsay Nicole Parrish, MAT, ATC, LAT13000 Emerald Pass Ave