Jay Roberts, ATC
Specialist/Technologist, Athletic Trainer in Jackson, TN. Individual provider (NPI-1).
NPI number1891184792
StatusActive
Last updated in NPPESJan 15, 2015
Details
- NPI
- 1891184792
- Entity type
- Individual (NPI-1)
- Name
- Jay Roberts
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2015
- Last updated
- Jan 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | TN | Yes |
Practice location
620 Skyline DrJackson, TN 38301-3923
Phone 731-541-5000 · Fax 731-541-6251
Mailing address
620 Skyline DrJackson, TN 38301-3923
Phone 731-541-5000 · Fax 731-541-6251
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