Individual
JACOB SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 SQUIRREL DRIVE, STATE COLLEGE,, PA 16801
(815) 954-3636
Mailing address
532 CALHOUN ST, MORRIS, IL 60450-1710
(815) 954-3636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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