Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jesse P Amburn, LAT, ATC

Individual provider Athletic Trainer · NPI 1992991947

Mr. Jesse P Amburn, LAT, ATC is an Athletic Trainer in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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

3414 Golden Rd
Tyler, TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 531-0179
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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 AT2013 (TX)

Record details

NPI number1992991947
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedSeptember 23, 2007
Last updated in NPPESSeptember 23, 2007

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