Individual
JACOB HUNTER KRAUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8819 RICHARDSON KING RD, WAXHAW, NC 28173-7611
(704) 290-8644
Mailing address
8819 RICHARDSON KING RD, WAXHAW, NC 28173-7611
(704) 290-8644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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