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KAITLYN JACKSON
NPI 1336599901
Specialist/Technologist - Athletic Trainer in Saint Joseph, MI

Active since June 15, 2016
3950 HOLLYWOOD RD, SUITE 140, SAINT JOSEPH, MI 49085(260) 556-7150 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlyn Jackson NPPES

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

KAITLYN JACKSON (NPI 1336599901) is an individual athletic trainer provider in Saint Joseph, Michigan, licensed in Michigan (2601001465) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1336599901
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKAITLYN JACKSON
Location Address3950 HOLLYWOOD RD, SUITE 140Saint Joseph, MI 49085-9159
Mailing Address3950 Hollywood Rd, Suite 140Saint Joseph, MI 49085-9159
Phone(260) 556-7150
Sole ProprietorYes
Enumeration DateJune 15, 2016
✔ NPI 1336599901 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
License✔ Licensed in MI · 2601001465
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.
3950 HOLLYWOOD RD, Saint Joseph, MI 49085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN T. WOOD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. YU-LAM CHRISTOPHER CHIU M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
AMENA IQBAL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1600
LAKESIDE CANCER SPECIALISTS, PLLC
Clinic/Center (Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
DR. PHILIP JASHEWAY PT, AT
Physical Therapist
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7150
DR. JOHN L BARD MD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
SPECTRUM HEALTH HOSPITALS
Pediatrics (Pediatric Hematology-Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (616) 267-1925
DR. THOMAS K POW M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000

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 Kaitlyn Jackson's NPI number?

The NPI number for Kaitlyn Jackson is 1336599901. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Kaitlyn Jackson located?

Kaitlyn Jackson practices at 3950 Hollywood Rd Suite 140, Saint Joseph, MI 49085. The listed phone number is (260) 556-7150.

What is Kaitlyn Jackson'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 Kaitlyn Jackson was last updated on June 15, 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.