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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE HENRY
NPI 1639136351
Specialist/Technologist - Athletic Trainer in Rathdrum, ID

Active since April 27, 2006
6749 W EDEN CT, RATHDRUM, ID 83858(208) 687-2156 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Henry NPPES

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

JACKIE HENRY (NPI 1639136351) is an individual athletic trainer provider in Rathdrum, Idaho, licensed in Idaho (AT-258) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1639136351
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJACKIE HENRY
Location Address6749 W EDEN CTRathdrum, ID 83858-6423
Mailing Address6749 W Eden CtRathdrum, ID 83858-6423 · (208) 687-2156
Phone(208) 687-2156
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639136351 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 ID · AT-258
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.
6749 W EDEN CT, Rathdrum, ID 83858
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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 Jackie Henry's NPI number?

The NPI number for Jackie Henry is 1639136351. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Jackie Henry located?

Jackie Henry practices at 6749 W Eden Ct, Rathdrum, ID 83858. The listed phone number is (208) 687-2156.

What is Jackie Henry'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 Jackie Henry was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.