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

Jackie Henry

Individual provider Athletic Trainer · NPI 1639136351

Jackie Henry is an Athletic Trainer in Rathdrum, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

6749 W Eden Ct
Rathdrum, ID 83858-6423
Phone: (208) 687-2156
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-258 (ID)

Record details

NPI number1639136351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address6749 W Eden Ct, Rathdrum, ID 83858-6423