NPI 1487107231

Jacob Robert Powell, ATC

Practitioner Athletic Trainer Swampscott, MA

Practice location

Address: 70 Fuller Ave, Swampscott, MA 01907-2150
Phone: (781) 913-6120

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Massachusetts →

Registry record

NPI: 1487107231
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2016
Record last updated: 20 Jun 2017

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.