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

Mr. Jay Dee Mellette, ATC

Individual provider Athletic Trainer · NPI 1033173372

Mr. Jay Dee Mellette, ATC is an Athletic Trainer in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

980 Kelly Johnson Dr
Las Vegas, NV 89119-3785
Phone: (702) 352-0200
Fax: (702) 891-1707
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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 0506040 (NV)

Record details

NPI number1033173372
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7123 S Durango Dr Unit 303, Las Vegas, NV 89113-2064

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