NPI 1003760547
Jacob Anthony Huddleston
Practice location
- Address
- 4873 E 12th St, Tucson, AZ 85711-3603
- Phone
- (310) 259-1861
- Mailing address
- 272 White Bark Ln, Simi Valley, CA 93065-4989
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1003760547
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Feb 2026
- Record last updated
- 23 Feb 2026
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.