Individual
JACOB EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, OTC, SA-C
Contact information
Practice address
206 BEDFORD WAY, FRANKLIN, TN 37064-5526
(615) 595-6436
(615) 261-2067
Mailing address
206 BEDFORD WAY, FRANKLIN, TN 37064-5526
(321) 271-5548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
246ZC0007X
Surgical Assistant
—
—
Other
Enumeration date
04/14/2008
Last updated
09/04/2013
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