NPI 1043925241
Weston Jacobson, ATCMAT
Practice location
- Address
- 260 N Dixie Dr Unit 535, St George, UT 84770-6329
- Phone
- (928) 322-5587
- Mailing address
- 1519 S 10th Ave, Safford, AZ 85546-3505
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1043925241
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jan 2023
- Record last updated
- 9 Jul 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.