Jakob Morgan
Specialist/Technologist, Athletic Trainer in Louisville, KY. Individual provider (NPI-1).
NPI number1164098190
StatusActive
Last updated in NPPESAug 6, 2021
Details
- NPI
- 1164098190
- Entity type
- Individual (NPI-1)
- Name
- Jakob Morgan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2021
- Certification date
- Aug 6, 2021
- Last updated
- Aug 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1547 Knight RdLouisville, KY 40216-4079
Phone 502-552-8634
Mailing address
1547 Knight RdLouisville, KY 40216-4079
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