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

Mr. Jacob William Tucker, ATC

Individual provider Athletic Trainer · NPI 1366672081

Mr. Jacob William Tucker, ATC is an Athletic Trainer in Olney, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

800 E Locust St
Olney, IL 62450-2553
Phone: (618) 395-2131
Fax: (618) 395-6289
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.002692 (IL)

Record details

NPI number1366672081
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESJuly 15, 2009

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