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

Jessie Bollback, ATC, LAT

Individual provider Athletic Trainer · NPI 1558746305

Jessie Bollback, ATC, LAT is an Athletic Trainer in Davie, Florida. 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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3301 College Ave
Davie, FL 33314-7796
Phone: (954) 336-9858
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1558746305
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJuly 22, 2015
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

Other providers in Davie