Jason Kyle Daugherty, LAT, ATC

Athletic Trainer · Crandall, TX

Individual Active NPI

NPI number 1407132558

Practice location

13385 FM 3039
Crandall, TX 75114-4818
Phone
(972) 427-6150
Fax
(972) 427-6133

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NPI record

NPI
1407132558
Entity type
Individual (Type 1)
Enumeration date
November 2, 2011
Last updated
November 2, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT2638 TX

About Jason Daugherty

Jason Kyle Daugherty, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 13385 FM 3039, Crandall, TX 75114-4818. The NPI number 1407132558 was assigned on November 2, 2011 and the record was last updated on November 2, 2011.

Jason Daugherty lists a license in the registry: #AT2638 (TX) 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 Jason Kyle Daugherty, LAT, ATC?

The NPI number is 1407132558.

What is the phone number of Jason Daugherty?

The phone number listed for the practice location is (972) 427-6150.

Where is Jason Daugherty located?

13385 FM 3039, Crandall, TX 75114-4818.

What is the taxonomy code for Jason Daugherty?

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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