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

Kaula Jacks, ATC, LAT

Individual provider Athletic Trainer · NPI 1760930713

Kaula Jacks, ATC, LAT is an Athletic Trainer in Prince Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
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

600 Dares Beach Rd
Prince Frederick, MD 20678-4200
Phone: (410) 610-7718
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 · Licence A0000893 (MD)

Record details

NPI number1760930713
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESSeptember 21, 2016
Mailing address8501 Bayside Rd Unit C4, Chesapeake Beach, MD 20732-3313

Other providers in Prince Frederick