Mark Lawrence Hibbard

Athletic Trainer · Jackson, WY

Individual Active NPI

NPI number 1063920965

Practice location

120 W Pearl Ave
Jackson, WY 83002

Phone: (307) 734-9129

Open in Google Maps

NPI record

NPI: 1063920965
Entity type: Individual (Type 1)
Enumeration date: January 14, 2018
Last updated: January 14, 2018
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Athletic Trainer Primary	`2255A2300X`	—	—

Mailing address

PO Box 7791
Jackson, WY 83002-7791

Phone: (760) 709-2122

About Mark Hibbard

Mark Lawrence Hibbard is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 120 W Pearl Ave, Jackson, WY 83002. The NPI number 1063920965 was assigned on January 14, 2018 and the record was last updated on January 14, 2018.

Frequently asked questions

What is the NPI number of Mark Lawrence Hibbard?

The NPI number is 1063920965.

What is the phone number of Mark Hibbard?

The phone number listed for the practice location is (307) 734-9129.

Where is Mark Hibbard located?

120 W Pearl Ave, Jackson, WY 83002.

What is the taxonomy code for Mark Hibbard?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.