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NPI Code Detail

MEDICARE: MR. BOBBY ESLICK III MS, LAT, ATC

MEDICARE: MR. BOBBY ESLICK III MS, LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT007392OH

General Provider Information

NPI Number : 1093632853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BOBBY ESLICK III MS, LAT, ATC
Provider Business Mailing Address
First Line : 2062 SAND RUN KNOLLS DR
Second Line :
City : AKRON
State : OH
Zip : 44313-8003
Country : US
Telephone Number : 330-814-4987
Fax Number :
Provider Business Practice Location Address
First Line : 12300 MCCRACKEN RD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2914
Country : US
Telephone Number : 216-581-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2026
Last Update Date : 07/02/2026

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