Jesse Wade McIntyre, DAT, LAT, ATC, CSCS

Athletic Trainer · San Angelo, TX

Individual Active NPI

NPI number 1477063725

Practice location

210 La Salle Dr
San Angelo, TX 76903-7916
Phone
(405) 614-2024

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NPI record

NPI
1477063725
Entity type
Individual (Type 1)
Enumeration date
October 1, 2017
Last updated
March 23, 2026
Certified
March 23, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT7626 TX

About Jesse McIntyre

Jesse Wade McIntyre, DAT, LAT, ATC, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 210 La Salle Dr, San Angelo, TX 76903-7916. The NPI number 1477063725 was assigned on October 1, 2017 and the record was last updated on March 23, 2026.

Jesse McIntyre lists a license in the registry: #AT7626 (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 Jesse Wade McIntyre, DAT, LAT, ATC, CSCS?

The NPI number is 1477063725.

What is the phone number of Jesse McIntyre?

The phone number listed for the practice location is (405) 614-2024.

Where is Jesse McIntyre located?

210 La Salle Dr, San Angelo, TX 76903-7916.

What is the taxonomy code for Jesse McIntyre?

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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