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

Jordan Gonzales, ATC, LAT

Individual provider Athletic Trainer · NPI 1154708626

Jordan Gonzales, ATC, LAT is an Athletic Trainer in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
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.

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Practice location Address checks out

603 N Grand Ave
Tahlequah, OK 74464-2302
Phone: (918) 444-3921
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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 830 (OK)

Record details

NPI number1154708626
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015

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