Individual
MR. JACOB KYLE GLASSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8805 DUNES CT APT 301, KISSIMMEE, FL 34747-1019
(407) 569-6229
Mailing address
8805 DUNES CT APT 301, KISSIMMEE, FL 34747-1019
(407) 569-6229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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