JESSICA L HENDERSON ATC
NPI 1609399039
Specialist/Technologist - Athletic Trainer in Lebanon, IL

Q: What is Jessica Henderson's NPI number?

The NPI number for Jessica Henderson is 1609399039. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Q: What is Jessica Henderson'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 Jessica Henderson was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 18, 2017

701 COLLEGE RD, LEBANON, IL 62254(618) 537-6929 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jessica L Henderson Atc NPPES

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

JESSICA L HENDERSON ATC (NPI 1609399039) is an individual athletic trainer provider in Lebanon, Illinois, licensed in Illinois (096003463) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1609399039

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJESSICA L HENDERSONCredential: ATC

Location Address701 COLLEGE RDLebanon, IL 62254-1291

Mailing Address440 Valley VwCarlyle, IL 62231-2306

Phone(618) 537-6929

Sole ProprietorNo

Enumeration DateJuly 18, 2017

✔ NPI 1609399039 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 · 096003463

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.

701 COLLEGE RD, Lebanon, IL 62254

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Other Providers at the Same Location NPPES 13

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

PROF. DAWN M. HANKINS PHD, ATC

Specialist/Technologist (Athletic Trainer)

701 COLLEGE RD, MCKENDREE COLLEGE
LEBANON, IL 62254

St. Clair County (618) 537-6917

KRISTIN VON HATTEN MS, ATC, CSCS

Specialist/Technologist (Athletic Trainer)