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KAULA JACKS ATC, LAT
NPI 1760930713
Specialist/Technologist - Athletic Trainer in Prince Frederick, MD

Active since September 20, 2016
600 DARES BEACH RD, PRINCE FREDERICK, MD 20678(410) 610-7718 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaula Jacks Atc, Lat NPPES

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

KAULA JACKS ATC, LAT (NPI 1760930713) is an individual athletic trainer provider in Prince Frederick, Maryland, licensed in Maryland (A0000893) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1760930713
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKAULA JACKSCredential: ATC, LAT
Location Address600 DARES BEACH RDPrince Frederick, MD 20678-4200
Mailing Address8501 Bayside Rd Unit C4Chesapeake Beach, MD 20732-3313
Phone(410) 610-7718
Sole ProprietorNo
Enumeration DateSeptember 20, 2016
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1760930713 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 MD · A0000893
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.
600 DARES BEACH RD, Prince Frederick, MD 20678
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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 Kaula Jacks's NPI number?

The NPI number for Kaula Jacks is 1760930713. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Kaula Jacks located?

Kaula Jacks practices at 600 Dares Beach Rd, Prince Frederick, MD 20678. The listed phone number is (410) 610-7718.

What is Kaula Jacks'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 Kaula Jacks was last updated on September 21, 2016. 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.