Individual
JACOB WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4043 CHATSWORTH ST N UNIT 449, SHOREVIEW, MN 55126-5502
(817) 808-6638
Mailing address
4043 CHATSWORTH ST N UNIT 449, SHOREVIEW, MN 55126-5502
(817) 808-6638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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