Provider Demographics
NPI:1548659790
Name:JARBOE, ADAM RAY (ATC)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:RAY
Last Name:JARBOE
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:1534 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1165
Mailing Address - Country:US
Mailing Address - Phone:270-993-3695
Mailing Address - Fax:270-684-4678
Practice Address - Street 1:2831 NEW HARTFORD RD
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1320
Practice Address - Country:US
Practice Address - Phone:270-926-4100
Practice Address - Fax:270-684-4678
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYAT12022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer