Jacob Crow, ATC

Athletic Trainer · Bloomington, IN

Individual Active NPI

NPI number 1952708232

Practice location

1001 E 17TH St
Bloomington, IN 47408-1590
Phone
(812) 855-3618

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NPI record

NPI
1952708232
Entity type
Individual (Type 1)
Enumeration date
December 2, 2014
Last updated
December 2, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 36002259A IN

Mailing address

205 E 6TH St
Bloomington, IN 47408-3517
Phone
(812) 855-3618

About Jacob Crow

Jacob Crow, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1001 E 17TH St, Bloomington, IN 47408-1590. The NPI number 1952708232 was assigned on December 2, 2014 and the record was last updated on December 2, 2014.

Jacob Crow lists a license in the registry: #36002259A (IN) 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 Crow, ATC?

The NPI number is 1952708232.

What is the phone number of Jacob Crow?

The phone number listed for the practice location is (812) 855-3618.

Where is Jacob Crow located?

1001 E 17TH St, Bloomington, IN 47408-1590.

What is the taxonomy code for Jacob Crow?

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.

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