Individual
MR. WESTON JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, MAT
Contact information
Practice address
260 N DIXIE DR UNIT 535, ST GEORGE, UT 84770-6329
(928) 322-5587
Mailing address
1519 S 10TH AVE, SAFFORD, AZ 85546-3505
(928) 322-5587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009574
AZ
Other
Enumeration date
01/23/2023
Last updated
07/09/2024
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