Individual
MR. JASON MILES COBB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC/L
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(800) 998-0880
Mailing address
3811 GAYWOOD DR, LOUISVILLE, KY 40272-2903
(502) 937-0085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT397
KY
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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