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JACKSON COLEMAN TIDWELL
NPI 1407708654
Specialist/Technologist - Athletic Trainer in Lubbock, TX

Active since February 11, 2026
7402 93RD ST, LUBBOCK, TX 79424(806) 853-4098 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jackson Coleman Tidwell NPPES

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

JACKSON COLEMAN TIDWELL (NPI 1407708654) is an individual athletic trainer provider in Lubbock, Texas and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1407708654
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACKSON COLEMAN TIDWELL
Location Address7402 93RD STLubbock, TX 79424-4940
Mailing Address7402 93rd StLubbock, TX 79424-4940 · (806) 853-4098
Phone(806) 853-4098
Sole ProprietorYes
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1407708654 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.
7402 93RD ST, Lubbock, TX 79424
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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 Tidwell's NPI number?

The NPI number for Jackson Tidwell is 1407708654. It was assigned to this individual provider in the NPPES registry on February 11, 2026.

Where is Jackson Tidwell located?

Jackson Tidwell practices at 7402 93rd St, Lubbock, TX 79424. The listed phone number is (806) 853-4098.

What is Jackson Tidwell'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 Tidwell was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.