Individual
JACOB EUGENE SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1759 N WATER AVE, HERMITAGE, PA 16148-1381
(724) 977-1853
Mailing address
1759 N WATER AVE, HERMITAGE, PA 16148-1381
(724) 977-1853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006133
PA
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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