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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE TITTLE, ATC, LAT

Active Sole Proprietor

JESSE TITTLE, ATC, LAT is a Athletic Trainer healthcare provider located in RICHMOND, Indiana. NPI 1396296109 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · RICHMOND, IN

Registration Details

NPI Number
1396296109
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2016 (9.8359602602799 yrs)
Last Updated
Oct 17, 2016
Licenses
261106063 (IN)
AT003116 (OH)
Sole Proprietor
Yes

Practice Information

Address
1100 REID PKWY
RICHMOND, IN, 473741157
Browse IN providers · Browse ZIP 47374
Phone
7659833092
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in RICHMOND, IN

Name Credential NPI
MRS. THERESA ANN WRIGHT-REED ATC, LAT 1770643223
MR. BRIAN EDMUND STEELE A.T.,C. 1386705457
ABAGAIL EVONNE COATES ATC, LAT, PES 1528120565
MR. WILLIAM ANTHONY KINSEY ATC 1962545301
ASHLEY NICOLE MOMAN ATC 1386911154
MR. BRIAN JAMES CHENEY MA, ATC 1962835215
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.