Individual
MR. JASON MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSE, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
166
NE
2255A2300X
Athletic Trainer
Primary
AT3797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT3797
STATE LICENSE
TX
Enumeration date
06/27/2006
Last updated
01/14/2025
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