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

Jack Henry Whitehead

Individual provider Athletic Trainer · NPI 1508711243

Jack Henry Whitehead is an Athletic Trainer in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2026

Practice location Address checks out

12703 W 131st St
Overland Park, KS 66213-5017
Phone: (913) 754-6839
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (KS)

Record details

NPI number1508711243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address12703 W 131st St, Overland Park, KS 66213-5017

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