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

Jackson Randall Therrien

Individual provider Athletic Trainer · NPI 1871079442

Jackson Randall Therrien is an Athletic Trainer in Decatur, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018

Practice location Address checks out

224 Crows Nest Cir
Decatur, MS 39327-9186
Phone: (601) 678-6199
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0792 (MS)

Record details

NPI number1871079442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESJuly 17, 2018
Mailing address224 Crows Nest Cir, Decatur, MS 39327-9186

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