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JACOB CASEBOLT AT
NPI 1184162836
Specialist/Technologist - Athletic Trainer in Pocatello, ID

Active since February 02, 2017
109 TAFT AVE, POCATELLO, ID 83201(208) 705-5038 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 12, 2019, Feb 2, 2017 (2 updates tracked since 2017).

About Jacob Casebolt At NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB CASEBOLT AT (NPI 1184162836) is an individual athletic trainer provider in Pocatello, Idaho, licensed in Idaho (AT-672) and active in the NPI registry since February 2017. He maintains a secondary practice location in Missoula.

NPPES Registry Identity

NPI1184162836
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB CASEBOLTCredential: AT
Location Address109 TAFT AVEPocatello, ID 83201-5108
Mailing Address109 Taft AvePocatello, ID 83201-5108 · (208) 705-5038
Phone(208) 705-5038
Sole ProprietorNo
Enumeration DateFebruary 2, 2017
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1184162836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in ID · AT-672
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
109 TAFT AVE, Pocatello, ID 83201
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Secondary Practice Location 1

Location 11307 E Broadway St.Missoula, MT 59801 · Phone (406) 207-3045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Casebolt's NPI number?

The NPI number for Jacob Casebolt is 1184162836. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Where is Jacob Casebolt located?

Jacob Casebolt practices at 109 Taft Ave, Pocatello, ID 83201. The listed phone number is (208) 705-5038.

What is Jacob Casebolt's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jacob Casebolt was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.