Individual
MR. JAKE EARL RESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 DAVIS ST APT B9, ATHENS, GA 30606-5076
(706) 614-5845
Mailing address
101 DAVIS ST APT B9, ATHENS, GA 30606-5076
(706) 614-5845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0229
SD
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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