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

Jason Kyle Carruth, ATC

Individual provider Athletic Trainer · NPI 1144637927

Jason Kyle Carruth, ATC is an Athletic Trainer in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2014.

Licensed in
AR
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

550 Club Ln Ste 2
Conway, AR 72034-3681
Phone: (501) 932-0814
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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 AT 084 (AR)

Record details

NPI number1144637927
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 14, 2014
Mailing address68 Donna Kay Dr, Greenbrier, AR 72058-9579

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