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

Mrs. Holli Cheree Jackson, ATC, LMT, CES, PES

Individual provider Athletic Trainer · NPI 1598289233

Mrs. Holli Cheree Jackson, ATC, LMT, CES, PES is an Athletic Trainer in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5109 Bluestem Way
Caldwell, ID 83607-5557
Phone: (208) 964-9504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAS-3601 (ID)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1598289233
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LMT , CES , PES
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

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