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

Jackson Grant

Individual provider Athletic Trainer · NPI 1083448724

Jackson Grant is an Athletic Trainer in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1215 S Boulder Ave
Tulsa, OK 74119-2842
Phone: (918) 631-2619
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1083448724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 26, 2024
Mailing address2814 E 8th St Apt 3136, Tulsa, OK 74104-7408

Other providers in Tulsa