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

Isaac T. Jackson, ATHLETICTRAINER

Individual provider Health & Wellness Coach · NPI 1134937725

Isaac T. Jackson, ATHLETICTRAINER is a Health & Wellness Coach in Brandywine, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

3916 Woodreed Dr
Brandywine, MD 20613-6006
Phone: (301) 526-8416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 1241364241 (MD)

Record details

NPI number1134937725
Entity typeIndividual (Type 1)
GenderMale
Credentials ATHLETICTRAINER
Sole proprietorYes
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

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