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

Mr. Jacob Walton Lewis, LAT, ATC, CKTP

Individual provider Athletic Trainer · NPI 1649916578

Mr. Jacob Walton Lewis, LAT, ATC, CKTP is an Athletic Trainer in Eight Mile, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2022
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

5735 College Pkwy
Eight Mile, AL 36613-2842
Phone: (251) 442-2561
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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 1523 (AL)

Record details

NPI number1649916578
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , CKTP
Sole proprietorYes
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022