MR. JACOB WILLIAM TUCKER ATC
NPI 1366672081
Specialist/Technologist - Athletic Trainer in Olney, IL

Q: What is Jacob Tucker's NPI number?

The NPI number for Jacob Tucker is 1366672081. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Q: What is Jacob Tucker'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 Jacob Tucker was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 15, 2009

800 E LOCUST ST, OLNEY, IL 62450(618) 395-2131(618) 395-6289 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jacob William Tucker Atc NPPES

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

MR. JACOB WILLIAM TUCKER ATC (NPI 1366672081) is an individual athletic trainer provider in Olney, Illinois, licensed in Illinois (096.002692) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1366672081

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JACOB WILLIAM TUCKERCredential: ATC

Location Address800 E LOCUST STOlney, IL 62450-2553

Mailing Address800 E Locust StOlney, IL 62450-2553 · (618) 395-2131 · Fax (618) 395-6289

Phone(618) 395-2131

Fax(618) 395-6289

Sole ProprietorNo

Enumeration DateJuly 15, 2009

✔ NPI 1366672081 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 IL · 096.002692

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.

800 E LOCUST ST, Olney, IL 62450

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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.

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