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JACKSON WADE MCQUEEN ATC
NPI 1780341032
Specialist/Technologist - Athletic Trainer in Phoenix, AZ

Active since November 22, 2021
3300 W CAMELBACK RD # A21367, PHOENIX, AZ 85017(325) 977-1914 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Jackson Wade Mcqueen Atc NPPES

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

JACKSON WADE MCQUEEN ATC (NPI 1780341032) is an individual athletic trainer provider in Phoenix, Arizona and active in the NPI registry since November 2021. He maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1780341032
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACKSON WADE MCQUEENCredential: ATC
Location Address3300 W CAMELBACK RD # A21367Phoenix, AZ 85017-3030
Mailing Address214 Penrose StSan Angelo, TX 76903-8638 · (325) 977-1914
Phone(325) 977-1914
Sole ProprietorYes
Enumeration DateNovember 22, 2021
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1780341032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3300 W CAMELBACK RD # A21367, Phoenix, AZ 85017
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Secondary Practice Location 1

Location 13000 Mountain View PkwyDallas, TX 75211 · Phone (210) 333-7100

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 Jackson Mcqueen's NPI number?

The NPI number for Jackson Mcqueen is 1780341032. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Jackson Mcqueen located?

Jackson Mcqueen practices at 3300 W Camelback Rd # A21367, Phoenix, AZ 85017. The listed phone number is (325) 977-1914.

What is Jackson Mcqueen'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 Jackson Mcqueen was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.