Individual
EMILY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5829 OAKLAND AVE, MINNEAPOLIS, MN 55417-3113
(612) 978-0313
Mailing address
5829 OAKLAND AVE, MINNEAPOLIS, MN 55417-3113
(612) 978-0313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2989
MN
Other
Enumeration date
08/06/2017
Last updated
07/21/2022
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