Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAULA JACKS, ATC, LAT
ActiveKAULA JACKS, ATC, LAT is a Athletic Trainer healthcare provider located in PRINCE FREDERICK, Maryland. NPI 1760930713 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PRINCE FREDERICK, MD
Registration Details
- NPI Number
- 1760930713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2016 (9.8578645450426 yrs)
- Last Updated
- Sep 21, 2016
- License
-
A0000893 (MD)
Practice Information
- Address
-
600 DARES BEACH RDPRINCE FREDERICK, MD, 206784200Browse MD providers · Browse ZIP 20678
- Phone
- 4106107718
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PRINCE FREDERICK, MD
| Name | Credential | NPI |
|---|---|---|
| KASEY ROLFES | DHA, LAT, RCEP | 1306830526 |
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.