Jackson Coleman Tidwell
Jackson Coleman Tidwell is an Athletic Trainer in Lubbock, Texas. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
7402 93rd StLubbock, TX 79424-4940
Phone: (806) 853-4098
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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 number | 1407708654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 11, 2026 |
| Last updated in NPPES | February 11, 2026 |
| Certification date | February 11, 2026 |
| Mailing address | 7402 93rd St, Lubbock, TX 79424-4940 |
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