JACOB HENDERLIGHT

BIRMINGHAM, AL
NPI1235007428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  2808)
Enumeration Date2025-10-28
Last Update Date2025-10-28
Business Address
JACOB HENDERLIGHT
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: 205-930-8339
Mailing Address
JACOB HENDERLIGHT
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: 205-930-8339