Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY JACKSON JR.
Active Sole ProprietorMR. LARRY JACKSON JR. is a Athletic Trainer healthcare provider located in LEXINGTON, Kentucky. NPI 1568855724 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEXINGTON, KY
Registration Details
- NPI Number
- 1568855724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2015 (11.441600323052 yrs)
- Last Updated
- Mar 15, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
826 WARFIELD PLLEXINGTON, KY, 405053612Browse KY providers · Browse ZIP 40505
- Phone
- 8594212250
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| AARON DAVID SCIASCIA | MS, ATC, NS | 1508841578 |
| MR. KEITH J. WEBSTER | ATC | 1629055090 |
| LARRY ROBERT ULLERY | ATC | 1558325076 |
| SARAH JENNIFER WILLIAMS | MS, ATC | 1720042781 |
| MR. DAVID C JACOBS | MA, ATC | 1982668943 |
| MR. GREGORY LEE JACKSON | MS, ATC | 1356306203 |
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.