Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Taylor Pack, ATC, LAT

Individual provider Athletic Trainer · NPI 1013696095

Anthony Taylor Pack, ATC, LAT is an Athletic Trainer in Jacksonville, Alabama. Practices as a sole proprietor and works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone: (256) 782-5582
Fax: (256) 782-8515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 Arlington Meadows Dr, Fisherville, KY 40023-7734 — (502) 418-4386

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2715 (AL)

Record details

NPI number1013696095
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJanuary 11, 2023
Mailing address700 Pelham Rd N, Jacksonville, AL 36265-1602

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