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

Individual provider Athletic Trainer · NPI 1710342647

Jessica Stacy, ATC is an Athletic Trainer in Redwood City, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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

530 Madison Ave
Redwood City, CA 94061-1643
Phone: (831) 229-6430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1710342647
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 18, 2015
Last updated in NPPESDecember 18, 2015

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