SearchTexasStudent in an Organized Health Care Education/Training Program

Jacolby Whitaker

NPI 1164054482 · on the registry since 2020 · sole proprietor

Practice

Address
8830 State Highway 21
Alto, TX 75925
Phone
(903) 948-1074

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Athletic Trainer
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas