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

Jordan Kay Lyles, LAT, ATC

Individual provider Athletic Trainer · NPI 1295292415

Jordan Kay Lyles, LAT, ATC is an Athletic Trainer in Waco, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

15 Dahlia St
Waco, TX 76708-9633
Phone: (916) 295-8281
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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 AT7989 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295292415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 24, 2019
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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