NPI age
9 years
Enumerated 2017-02-02
● Active
Type 1 · Individual
Jacob Casebolt, AT
Casebolt is 1 of 34 specialist/technologist providers in Pocatello and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Practice location
109 Taft Ave
Pocatello, ID 832015108
Mailing address
109 Taft Ave
Pocatello, ID 832015108
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1307 E Broadway St.
Missoula, MT 59801
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new specialist/technologist providers have been added in Pocatello in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.