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

Individual provider Athletic Trainer · NPI 1275068892

Elishia Jackson, LAT, ATC is an Athletic Trainer in Yelm, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2017
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

417 W Yelm Ave
Yelm, WA 98597
Phone: (360) 458-2444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A160668335 (WA)

Record details

NPI number1275068892
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedApril 21, 2017
Last updated in NPPESApril 21, 2017