Individual
JACOB RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5680 VENTURE DR, DUBLIN, OH 43017-2190
(614) 355-8729
(614) 355-8711
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005996
OH
390200000X
Student in an Organized Health Care Education/Training Program
UA628052
OH
Other
Enumeration date
08/30/2016
Last updated
07/22/2024
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