Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIA JACKSON, MS, LAT, ATC
ActiveTIA JACKSON, MS, LAT, ATC is a Athletic Trainer healthcare provider located in STURGEON BAY, Wisconsin. NPI 1649725938 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STURGEON BAY, WI
Registration Details
- NPI Number
- 1649725938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2016 (9.9553086257713 yrs)
- Last Updated
- Feb 19, 2019
- License
-
1559-39 (WI)
Practice Information
- Address
-
323 S 18TH AVESTURGEON BAY, WI, 542351401Browse WI providers · Browse ZIP 54235
- Phone
- 9207460410
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STURGEON BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTINA R KOYEN | LAT | 1013905975 |
| MR. GREGORY T LUCAS | ATC | 1659579282 |
| MRS. LAUREN DIANE BAUMANN | ATC | 1821377375 |
| JASON PAUL LINZMEIER | ATC | 1497144117 |
| ALYSSA RAE LEE | ATC | 1962855577 |
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.