Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Kristen Bradford, MSED, ATC, LAT

Individual provider Athletic Trainer · NPI 1871605501

Jill Kristen Bradford, MSED, ATC, LAT is an Athletic Trainer in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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.

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Practice location Address checks out

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Phone: (772) 335-4000
Fax: (772) 398-3700
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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 AL1271 (FL)

Record details

NPI number1871605501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , ATC , LAT
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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