NPI 1003406547

Jacob Fox

Practitioner Athletic Trainer Fountain Inn, SC

Practice location

Address: 644 Quillen Ave, Fountain Inn, SC 29644-9447
Phone: (864) 436-1883
Mailing address: 120 Sandy Ln, Greenville, SC 29605-5949

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1314 (SC)

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1003406547
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2021
Record last updated: 5 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.