NPI 1033402474

Jacob Tyler Depew, MSATCLATPES

Practitioner Athletic Trainer High Point, NC

Practice location

Address: 833 Montlieu Ave, High Point, NC 27262-4221
Phone: (336) 841-4500
Fax: (336) 841-9182

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1828 (NC)

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1033402474
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2011
Record last updated: 18 May 2011

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.