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

MS. Jylissa Nicole Tahy, LAT, ATC

Individual provider Athletic Trainer · NPI 1558048249

MS. Jylissa Nicole Tahy, LAT, ATC is an Athletic Trainer in Andover, Kansas. Licensed in Kansas. Registered with an NPI since 2023.

Licensed in
KS
In the registry since
2023
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.

See every abbreviation used in this directory →

Practice location Address checks out

1744 N Andover Rd
Andover, KS 67002-9472
Phone: (316) 218-4600
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-01071 (KS)

Record details

NPI number1558048249
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023