Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON RANDALL THERRIEN
ActiveAthletic Trainer · DECATUR, MS
Registration Details
- NPI Number
- 1871079442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2018 (7.7970822463769 yrs)
- Last Updated
- Jul 17, 2018
- License
-
AT0792 (MS)
Practice Information
- Address
-
224 CROWS NEST CIRDECATUR, MS, 393279186Browse MS providers · Browse ZIP 39327
- Phone
- 6016786199
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DECATUR, MS
| Name | Credential | NPI |
|---|---|---|
| DERRICK WESLEY JONES | ATC | 1750867776 |
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.