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

JACQUELYNN ANN THREAT, ATC

Active Sole Proprietor

JACQUELYNN ANN THREAT, ATC is a Athletic Trainer healthcare provider located in LAS VEGAS, Nevada. NPI 1407127756 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAS VEGAS, NV

Registration Details

NPI Number
1407127756
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2012 (14.529052269684 yrs)
Last Updated
Jan 18, 2012
License
0506166 (NV)
Sole Proprietor
Yes

Practice Information

Address
2725 W WIGWAM AVE
APT. 1108
LAS VEGAS, NV, 891236603
Browse NV providers · Browse ZIP 89123
Phone
4155334085
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAS VEGAS, NV

Name Credential NPI
MR. STEVE JOHN MCCAULEY ATC, LAT, CSCS 1831162650
MARY ANN ENCE ATC 1194793497
MR. JEREMY BRENT HAAS M.S., ATC/LAT, CSCS 1467421834
MR. ERIC WILLIAM GAHAN ATC 1942264528
MR. JAY DEE MELLETTE ATC 1033173372
MRS. CINDY LYNN DINKEL ATC 1275599334
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.