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JACOB FARLEY TANNER MS, ATC, LAT
NPI 1871016105
Specialist/Technologist - Athletic Trainer in Creve Coeur, MO

Active since July 19, 2017
1054 TOWN AND FOUR PARKWAY DR, CREVE COEUR, MO 63141(314) 803-7792 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Farley Tanner Ms, Atc, Lat NPPES

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

JACOB FARLEY TANNER MS, ATC, LAT (NPI 1871016105) is an individual athletic trainer provider in Creve Coeur, Missouri, licensed in Missouri (2015026272) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1871016105
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB FARLEY TANNERCredential: MS, ATC, LAT
Location Address1054 TOWN AND FOUR PARKWAY DRCreve Coeur, MO 63141
Mailing Address1054 Town And Four Parkway DrCreve Coeur, MO 63141-6225
Phone(314) 803-7792
Sole ProprietorYes
Enumeration DateJuly 19, 2017
Last NPPES UpdateAugust 3, 2017
✔ NPI 1871016105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2015026272
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.
1054 TOWN AND FOUR PARKWAY DR, Creve Coeur, MO 63141
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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 Tanner's NPI number?

The NPI number for Jacob Tanner is 1871016105. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jacob Tanner located?

Jacob Tanner practices at 1054 Town And Four Parkway Dr, Creve Coeur, MO 63141. The listed phone number is (314) 803-7792.

What is Jacob Tanner'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 Tanner was last updated on August 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.