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Jacob Whitacre, ATC, LAT

NPI 1902305642 · on the registry since 2018

Practice

Address
8400 Debold Koebel Rd
Morrow, OH 45152
Phone
(513) 532-8581

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
2255A2300X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio