Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS C JACKSON, ATC-L
Active Sole ProprietorTRAVIS C JACKSON, ATC-L is a Athletic Trainer healthcare provider located in SMITHFIELD, Utah. NPI 1528345212 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SMITHFIELD, UT
Registration Details
- NPI Number
- 1528345212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2011 (14.590577561032 yrs)
- Last Updated
- Nov 8, 2011
- License
-
6852418-4810 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 E 630 N APT 20SMITHFIELD, UT, 843359670Browse UT providers · Browse ZIP 84335
- Phone
- 4357601767
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SMITHFIELD, UT
| Name | Credential | NPI |
|---|---|---|
| CURTIS STEVEN CAZIER | LAT, ATC | 1346793759 |
| JAKE EDWIN HANSEN | — | 1730940818 |
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.