Brent H Jaco, ATC, LAT, CSCS Valid NPI

Individual provider · Athletic Trainer · Galveston, TX

NPI

1487699237

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT1342 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-17

Last updated

2007-07-08