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

Jefferson Jackson Wetherington, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1992030803

Jefferson Jackson Wetherington, MS, LAT, ATC is an Athletic Trainer in Boise, Idaho. Practices as a sole proprietor. Licensed in Florida, Idaho, Michigan and Oregon.

Licensed in
FL, ID, MI, OR
In the registry since
2009
Specialties on file
5
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

600 N Robbins Rd Ste 200
Boise, ID 83702-4565
Phone: (616) 447-9996
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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 AT468 (ID)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601001331 (MI)
Athletic Trainer Taxonomy 2255A2300X · Licence AL 2738 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 10160747 (OR)
Other Specialist/Technologist Taxonomy 246Z00000X · Licence #13-0839 (ID)

Record details

NPI number1992030803
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedOctober 9, 2009
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020

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