Individual
JACOB KEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
799 N HEWITT RD, YPSILANTI, MI 48197-1701
(785) 312-0294
Mailing address
2190 ARBOR CIR W APT 103, YPSILANTI, MI 48197-3453
(785) 312-0294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002465
MI
Other
Enumeration date
02/21/2019
Last updated
09/17/2020
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