JACKSON SPENCER
NPI 1306379169
Specialist/Technologist - Athletic Trainer in Moscow, ID

Q: What is Jackson Spencer's NPI number?

The NPI number for Jackson Spencer is 1306379169. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Q: What is Jackson Spencer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackson Spencer was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 09, 2017

627 KENNETH ST, MOSCOW, ID 83843(208) 310-3255 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Jackson Spencer NPPES

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

JACKSON SPENCER (NPI 1306379169) is an individual athletic trainer provider in Moscow, Idaho and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1306379169

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJACKSON SPENCER

Location Address627 KENNETH STMoscow, ID 83843-3904

Mailing Address627 Kenneth StMoscow, ID 83843-3904

Phone(208) 310-3255

Sole ProprietorYes

Enumeration DateApril 9, 2017

✔ NPI 1306379169 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

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.

627 KENNETH ST, Moscow, ID 83843

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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 Jackson Spencer's NPI number?

The NPI number for Jackson Spencer is 1306379169. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Jackson Spencer located?

Jackson Spencer practices at 627 Kenneth St, Moscow, ID 83843. The listed phone number is (208) 310-3255.

What is Jackson Spencer'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 Jackson Spencer was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.