NPI 1003661075

Jack Douglas Stemm

Practitioner Athletic Trainer Jacksonville, FL

Practice location

Address: 1 Performance Pl, Jacksonville, FL 32202-1809
Phone: (405) 612-2671
Mailing address: 10667 Brightman Blvd APT 4304, Jacksonville, FL 32246-7519

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL7131 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1003661075
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 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.