Individual
MR. JACOB SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
Mailing address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018-39
WI
Other
Enumeration date
09/25/2015
Last updated
04/13/2020
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