Individual provider · Type 1 NPI

Kaula Jacks, ATC, LAT

Athletic Trainer · Prince Frederick, MD

NPI number 1760930713 Active

Practice location

600 Dares Beach Rd
Prince Frederick, MD 20678-4200

Mailing address

8501 Bayside Rd Unit C4
Chesapeake Beach, MD 20732-3313

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XA0000893 (MD)

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 1760930713

Kaula Jacks, ATC, LAT's National Provider Identifier is 1760930713, issued on Sep 20, 2016. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Prince Frederick, MD. The record was last updated on Sep 21, 2016.