JACOB DANIEL WOODARD ATC, LAT
NPI 1629625363
Specialist/Technologist - Athletic Trainer in Lebanon, TN

Q: What is Jacob Woodard's NPI number?

The NPI number for Jacob Woodard is 1629625363. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Q: What is Jacob Woodard'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 Woodard was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 19, 2019

1411 W BADDOUR PKWY, LEBANON, TN 37087(615) 444-8262 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacob Daniel Woodard Atc, Lat NPPES

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

JACOB DANIEL WOODARD ATC, LAT (NPI 1629625363) is an individual athletic trainer provider in Lebanon, Tennessee, licensed in Tennessee (AT0000002113) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1629625363

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJACOB DANIEL WOODARDCredential: ATC, LAT

Location Address1411 W BADDOUR PKWYLebanon, TN 37087-2513

Mailing Address331 Pig Branch RdBrush Creek, TN 38547-5116 · (615) 489-0621

Phone(615) 444-8262

Sole ProprietorNo

Enumeration DateAugust 19, 2019

✔ NPI 1629625363 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 TN · AT0000002113

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.

1411 W BADDOUR PKWY, Lebanon, TN 37087

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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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