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

Jacob Daniel Woodard, ATC, LAT

Individual provider Athletic Trainer · NPI 1629625363

Jacob Daniel Woodard, ATC, LAT is an Athletic Trainer in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (615) 444-8262
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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 AT0000002113 (TN)

Record details

NPI number1629625363
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019

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