Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY KATHLEEN JACKSON, A.T.C.
Active Sole ProprietorAMY KATHLEEN JACKSON, A.T.C. is a Athletic Trainer healthcare provider located in HAZEL CREST, Illinois. NPI 1316054166 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HAZEL CREST, IL
Registration Details
- NPI Number
- 1316054166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2006 (19.961130541254 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1816 170TH STHAZEL CREST, IL, 604291451Browse IL providers · Browse ZIP 60429
- Phone
- 7083351415
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| MS. RICHARD D SCHOENEMANN II | ATC | 1174630966 |
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.