NPI 1568940237

Seth Alex Jacob

Practitioner Athletic Trainer Bennington, NE

Practice location

Address: 7931 N 154th St, Bennington, NE 68007-1838
Phone: (402) 917-8627

Registered specialties

Athletic Trainer Primary

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

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Registry record

NPI: 1568940237
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2018
Record last updated: 26 Jun 2019

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.