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JEFFERSON JACKSON WETHERINGTON MS LAT ATC NPI 1992030803


NPI Information

NPI: 1992030803
Provider Name: JEFFERSON JACKSON WETHERINGTON, MS, LAT, ATC
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
600 N ROBBINS RD STE 200
BOISE, ID
ZIP 83702
Phone: (616) 447-9996
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Jefferson Jackson Wetherington, MS, LAT, ATC is an athletic trainer specialist technologist in Boise, ID. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Jefferson Jackson Wetherington, MS, LAT, ATC NPI is 1992030803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 N ROBBINS RD STE 200
BOISE, ID
ZIP 83702-565
Phone: (616) 447-9996

The enumeration date for this NPI number is 10/9/2009 and was last updated on 3/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic Trainer2601001331MICHIGANNo
22255A2300XSpecialist/TechnologistAthletic TrainerAL 2738FLORIDANo
32255A2300XSpecialist/TechnologistAthletic Trainer10160747OREGONNo
4246Z00000XSpecialist/Technologist, Other#13-0839IDAHONo
52255A2300XSpecialist/TechnologistAthletic TrainerAT468IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.