Male or Other

Jacob Woolley

Athletic Trainer in Shoreview, MN(View on Map)

Full Name

Jacob Woolley

NPI Number

1689311326

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/15/2022

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4043 CHATSWORTH ST N UNIT 449
4043 CHATSWORTH ST N UNIT 449

City

Shoreview
Shoreview

State

MN
MN

Postal Code

55126-5502
55126-5502

Country

US
US

Telephone Number

(817) 808-6638
(817) 808-6638

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/15/2022

Provider Address

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