Individual
JACOB ANTHONY HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4873 E 12TH ST, TUCSON, AZ 85711-3603
(310) 259-1861
Mailing address
272 WHITE BARK LN, SIMI VALLEY, CA 93065-4989
(310) 259-1861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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