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MR. BENJAMIN M WILLY ATC
NPI 1164854303
Specialist/Technologist - Athletic Trainer in Jasper, TN

Active since July 30, 2013
4150 MAIN ST, JASPER, TN 37347(423) 942-8073(423) 942-6660 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Benjamin M Willy Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN M WILLY ATC (NPI 1164854303) is an individual athletic trainer provider in Jasper, Tennessee, licensed in Tennessee (2056) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1164854303
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. BENJAMIN M WILLYCredential: ATC
Location Address4150 MAIN STJasper, TN 37347-3445
Mailing Address8823 Production LnOoltewah, TN 37363-6511 · (423) 238-7217 · Fax (423) 238-3473
Phone(423) 942-8073
Fax(423) 942-6660
Sole ProprietorNo
Enumeration DateJuly 30, 2013
Last NPPES UpdateMay 13, 2016
✔ NPI 1164854303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses✔ Licensed in TN · 2056✔ Licensed in AR · AT 558
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
4150 MAIN ST, Jasper, TN 37347
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Willy's NPI number?

The NPI number for Benjamin Willy is 1164854303. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Benjamin Willy located?

Benjamin Willy practices at 4150 Main St, Jasper, TN 37347. The listed phone number is (423) 942-8073.

What is Benjamin Willy's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Benjamin Willy was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.