Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ROBERT NELSON
ActiveJACK ROBERT NELSON is a Athletic Trainer healthcare provider located in CANTON, Missouri. NPI 1083573950 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CANTON, MO
Registration Details
- NPI Number
- 1083573950
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2026 (0.55364011859177 yrs)
- Last Updated
- Jan 16, 2026
Practice Information
- Address
-
1 COLLEGE HLCANTON, MO, 634351299Browse MO providers · Browse ZIP 63435
- Phone
- 5732886000
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CANTON, MO
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL JAMES SCHWARZER | MSED, ATC | 1285059386 |
| KALI POWELL | MED, ATC | 1407240138 |
| ROBERT CARMICHAEL | MA, ATC | 1689028979 |
| CHRISTE ANNE THOMAS | ATC | 1497253066 |
| MISS KIRBY ALANA MCCLAIN | — | 1467952754 |
| DANIEL KEVIN FOHEY | — | 1770085201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.