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

Jack Glen Palo

Individual provider Athletic Trainer · NPI 1396484044

Jack Glen Palo is an Athletic Trainer in Ellensburg, Washington. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

202 Sinclair Rd
Ellensburg, WA 98926-6590
Phone: (509) 306-0698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1396484044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address202 Sinclair Rd, Ellensburg, WA 98926-6590

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