NPI 1003905985

Jacob Michael Brening, ATC

Practitioner Athletic Trainer Cleveland, TN

Practice location

Address: 1120 North Ocoee Lee University Athletics, Cleveland, TN 37311
Phone: (423) 614-8527
Mailing address: 2191 Old Harrison Pike NW APT 2, Cleveland, TN 37311-1098

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0000000990 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1003905985
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 8 Jul 2007

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.