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

Joshua Jackson

Individual provider Athletic Trainer · NPI 1760166052

Joshua Jackson is an Athletic Trainer in Berea, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

76 Lou Groza Blvd
Berea, OH 44017-1238
Phone: (732) 272-7869
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000053452 (OH)

Record details

NPI number1760166052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address76 Lou Groza Blvd, Berea, OH 44017-1238

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