Individual
JAKE THOMAS JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3971 LITTLE SAVANNAH ROAD, CULLOWHEE, NC 28723
(828) 227-3505
Mailing address
1A SPRING LAKE DR, MILLS RIVER, NC 28759-9688
(828) 290-4102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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