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

Mr. Jason Kyle Daugherty, LAT, ATC

Individual provider Athletic Trainer · NPI 1407132558

Mr. Jason Kyle Daugherty, LAT, ATC is an Athletic Trainer in Crandall, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011
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

13385 Fm 3039
Crandall, TX 75114-4818
Phone: (972) 427-6150
Fax: (972) 427-6133
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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 AT2638 (TX)

Record details

NPI number1407132558
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011

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