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

Taylor Jackson

Individual provider Athletic Trainer · NPI 1992173025

Taylor Jackson is an Athletic Trainer in Bowling Green, Ohio. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

707 E Merry Ave
Bowling Green, OH 43403-4502
Phone: (703) 835-4160
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1992173025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2015
Last updated in NPPESSeptember 6, 2015
Mailing address10436 Malone Ct, Fairfax, VA 22032-2372

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