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TRAVIS C JACKSON ATC-L
NPI 1528345212
Specialist/Technologist - Athletic Trainer in Smithfield, UT

Active since November 08, 2011
101 E 630 N APT 20, SMITHFIELD, UT 84335(435) 760-1767 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Travis C Jackson Atc-l NPPES

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

TRAVIS C JACKSON ATC-L (NPI 1528345212) is an individual athletic trainer provider in Smithfield, Utah, licensed in Utah (6852418-4810) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1528345212
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTRAVIS C JACKSONCredential: ATC-L
Location Address101 E 630 N APT 20Smithfield, UT 84335-9670
Mailing Address101 E 630 N Apt 20Smithfield, UT 84335-9670 · (435) 760-1767
Phone(435) 760-1767
Sole ProprietorYes
Enumeration DateNovember 8, 2011
✔ NPI 1528345212 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 UT · 6852418-4810
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.
101 E 630 N APT 20, Smithfield, UT 84335
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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 Travis Jackson's NPI number?

The NPI number for Travis Jackson is 1528345212. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Travis Jackson located?

Travis Jackson practices at 101 E 630 N Apt 20, Smithfield, UT 84335. The listed phone number is (435) 760-1767.

What is Travis 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 Travis Jackson was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.