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

Miss. Jacqueline M Williams, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1992717805

Miss. Jacqueline M Williams, MS, LAT, ATC is an Athletic Trainer in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
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 Partly verified

Some contact details are missing from the federal record.

University Of Idaho Dept OF Hperd Peb 100
Moscow, ID 83844-2401
Phone: (208) 885-2185
Fax: (208) 885-5929
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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 AT-106 (ID)

Record details

NPI number1992717805
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007

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