Individual
JACOB MANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1400 WILSON CREEK PKWY, MCKINNEY, TX 75069-5320
(469) 302-5958
(469) 302-5943
Mailing address
1400 WILSON CREEK PKWY, MCKINNEY, TX 75069-5320
(469) 302-5958
(469) 302-5943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
2255A2300X
TX
Enumeration date
01/28/2014
Last updated
01/28/2014
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