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

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: July 19, 2026.

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306379169, enumerated as an "individual" on April 09, 2017.

The provider is located at 627 KENNETH ST MOSCOW, ID 83843 and the phone number is (208) 310-3255.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.