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

Individual provider Athletic Trainer · NPI 1649725938

Tia Jackson, MS, LAT, ATC is an Athletic Trainer in Sturgeon Bay, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

323 S 18th Ave
Sturgeon Bay, WI 54235-1401
Phone: (920) 746-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N91w15750 Falls Pkwy, Menomonee Falls, WI 53051-2301 — (262) 532-1100

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1559-39 (WI)

Record details

NPI number1649725938
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 17, 2016
Last updated in NPPESFebruary 19, 2019

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