Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISHIA JACKSON, LAT, ATC
Active Sole ProprietorELISHIA JACKSON, LAT, ATC is a Athletic Trainer healthcare provider located in YELM, Washington. NPI 1275068892 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · YELM, WA
Registration Details
- NPI Number
- 1275068892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2017 (9.275152783483 yrs)
- Last Updated
- Apr 21, 2017
- License
-
A160668335 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
417 W. YELM AVE.YELM, WA, 98597Browse WA providers · Browse ZIP 98597
- Phone
- 3604582444
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in YELM, WA
| Name | Credential | NPI |
|---|---|---|
| EMMA KIMBERLEE BACON | — | 1083418289 |
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.