Individual provider · Type 1 NPI

Amanda Marie Jacobs

Athletic Trainer · Southington, CT

NPI number 1386485167 Active

Practice location

720 Pleasant St
Southington, CT 06489-2752

Fax (860) 628-3397

Mailing address

41 Kingwood Pl
New Britain, CT 06053-1733

Other practice locations

  • 98 Main St Ste 202, Southington, CT 06489-2500 · (860) 620-9954
  • 1615 Stanley St, New Britain, CT 06050-2439 · (860) 832-2300

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X2043 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1386485167

Amanda Marie Jacobs's National Provider Identifier is 1386485167, issued on Jun 4, 2024. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Southington, CT. The record was last updated on Jul 24, 2026.