Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON WADE MCQUEEN, ATC
Active Sole ProprietorJACKSON WADE MCQUEEN, ATC is a Athletic Trainer healthcare provider located in PHOENIX, Arizona. NPI 1780341032 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PHOENIX, AZ
Registration Details
- NPI Number
- 1780341032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2021 (4.692383521912 yrs)
- Last Updated
- Jan 5, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 W CAMELBACK RD # A21367PHOENIX, AZ, 850173030Browse AZ providers · Browse ZIP 85017
- Phone
- 3259771914
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHELLE SUSAN VARNELL | ATC | 1033181714 |
| MR. FRANK R NEVILLE | ATC | 1619940145 |
| DR. CHRISTOPHER MENDIAS | PHD, ATC | 1578536447 |
| LINDSEY M LOUGHRAN | MED, ATC | 1245209758 |
| MISS MARILYN JOAN HINTZ | MS, ATC/L, CSCS | 1659316479 |
| JUSTIN DAVID WHITEHOUSE | M.A., ATC | 1730250861 |
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.