MR. JESSE P AMBURN LAT,ATC - NPI 1992991947 - Specialist/Technologist in Tyler, TX

Q: What is Jesse Amburn's NPI number?

The NPI number for Jesse Amburn is 1992991947. It was assigned to this individual provider in the NPPES registry on September 23, 2007.

Q: What is Jesse Amburn'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 Jesse Amburn was last updated on September 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

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About Mr. Jesse P Amburn Lat,atc NPPES

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

MR. JESSE P AMBURN LAT,ATC (NPI 1992991947) is an individual athletic trainer provider in Tyler, Texas, licensed in Texas (AT2013) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1992991947

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JESSE P AMBURNCredential: LAT,ATC

Location Address3414 GOLDEN RDTyler, TX 75701-8336

Mailing Address3414 Golden RdTyler, TX 75701-8336 · (903) 939-7500 · Fax (903) 531-0179

Phone(903) 939-7500

Fax(903) 531-0179

Sole ProprietorYes

Enumeration DateSeptember 23, 2007

✔ NPI 1992991947 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 TX · AT2013

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.

3414 GOLDEN RD, Tyler, TX 75701

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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.

LYNSIE PAIGE DOUGHTEN FNP-C

Nurse Practitioner (Family)