Travis C Jackson, ATC-L
NPI #1528345212 in Smithfield, Utah
Provider Information
- NPI Number
- 1528345212
- Entity Type
- Individual
- Name
- Travis C Jackson, ATC-L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC-L
- Enumeration Date
- Nov 8, 2011
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 101 E 630 N APT 20
- City
- Smithfield
- State
- Utah
- ZIP Code
- 84335-9670
- Phone
- (435) 760-1767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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