Tanner, Jacob Farley

Tanner, Jacob Farley is an sole proprietor health care provider with primary practice located at 1054 Town And Four Parkway Dr , Creve Coeur MO 63141. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tanner, Jacob Farley can be contacted via phone (314) 803-7792.

Contact Information

Primary practice address
1054 Town And Four Parkway Dr Creve Coeur MO 63141
Phone: (314) 803-7792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2015026272 Missouri

Profile Details

NPI number 1871016105
LBN Legal business name Tanner, Jacob Farley
Credentials MS, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Aug 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers