Jack Winn Mansfield Sr., ATC

Athletic Trainer · Harrogate, TN

Individual Active NPI

NPI number 1346277977

Practice location

6569 Cumberland Gap Pkwy
Harrogate, TN 37752-8015
Phone
(423) 869-6322

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NPI record

NPI
1346277977
Entity type
Individual (Type 1)
Enumeration date
June 27, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT0000001015 TN

Mailing address

331 Colwyn Ave
PO Box 213
Cumberland Gap, TN 37724
Phone
(423) 869-0802

About Jack Mansfield

Jack Winn Mansfield Sr., ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6569 Cumberland Gap Pkwy, Harrogate, TN 37752-8015. The NPI number 1346277977 was assigned on June 27, 2006 and the record was last updated on July 8, 2007.

Jack Mansfield lists a license in the registry: #AT0000001015 (TN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Winn Mansfield Sr., ATC?

The NPI number is 1346277977.

What is the phone number of Jack Mansfield?

The phone number listed for the practice location is (423) 869-6322.

Where is Jack Mansfield located?

6569 Cumberland Gap Pkwy, Harrogate, TN 37752-8015.

What is the taxonomy code for Jack Mansfield?

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.

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