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

Mr. Jerry Lee Lloyd Jr., AT

Individual provider Athletic Trainer · NPI 1104103829

Mr. Jerry Lee Lloyd Jr., AT is an Athletic Trainer in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

444 W Osborn Rd Ste 303
Phoenix, AZ 85013-3814
Phone: (602) 279-8022
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0210 (AZ)

Record details

NPI number1104103829
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorYes
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011

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