Individual
JACOB ROUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E ATHLETICS WAY, MESA, AZ 85201-5068
(203) 258-1932
Mailing address
200 PELL MEADOW DR, FAIRFIELD, CT 06824-2962
(203) 258-1932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-008966
AZ
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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