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

Jesse Lilly

Individual provider Athletic Trainer · NPI 1417588773

Jesse Lilly is an Athletic Trainer in Athens, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1000 Vermillion St
Athens, WV 24712-9027
Phone: (304) 322-6264
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 number1417588773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020
Mailing address251 Samaritan Dr, Shady Spring, WV 25918-8231

Other providers in Athens