Individual
JACOB RYAN ROSPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004122
OH
Other
Enumeration date
10/06/2016
Last updated
08/17/2023
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