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

Mr. Jesse D Irwin, ATC

Individual provider Athletic Trainer · NPI 1619910742

Mr. Jesse D Irwin, ATC is an Athletic Trainer in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
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

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 230-6703
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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 2005012267 (MO)

Record details

NPI number1619910742
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1701 Ashwood Dr, Apartment 7, Rolla, MO 65401-4691

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