Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERADE ANDREW PARKS, ATC
Active Sole ProprietorMR. JERADE ANDREW PARKS, ATC is a Athletic Trainer healthcare provider located in LAKEWOOD, Ohio. NPI 1356788632 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKEWOOD, OH
Registration Details
- NPI Number
- 1356788632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2013 (13.175681913853 yrs)
- Last Updated
- Oct 4, 2019
- License
-
AT002960 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2026 BAXTERLY AVELAKEWOOD, OH, 441076028Browse OH providers · Browse ZIP 44107
- Phone
- 2489218785
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAKEWOOD, OH
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY DAVID HELLER | MA, ATC, PES, CES | 1720424005 |
| JACOB ANTEL | — | 1093116246 |
| TESSA ENDRESS | AT | 1649669813 |
| JEFFREY MICHAEL LAMBERT-SHEMO | AT | 1063964377 |
| JENNIFER COLLEEN DIX | AT, ATC, LMT | 1154893626 |
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.