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

Jack Soukenik, ATC

Individual provider Athletic Trainer · NPI 1760830475

Jack Soukenik, ATC is an Athletic Trainer in Mantua, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4707 Mill St
Mantua, OH 44255-8934
Phone: (330) 274-2747
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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 AT.004731 (OH)

Record details

NPI number1760830475
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing address4707 Mill St, Mantua, OH 44255-8934

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