Alexia Dominique Jackson, LAT, ATC

Athletic Trainer · East Lansing, MI

Individual Active NPI

NPI number 1629992524

Practice location

223 Kalamazoo St
East Lansing, MI 48824-5400
Phone
(517) 355-9710

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NPI record

NPI
1629992524
Entity type
Individual (Type 1)
Enumeration date
August 5, 2026
Last updated
August 5, 2026
Certified
August 5, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2601003099 MI

Mailing address

3127 Trappers Cove Trl Apt 2c
Lansing, MI 48910-8478

About Alexia Jackson

Alexia Dominique Jackson, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 223 Kalamazoo St, East Lansing, MI 48824-5400. The NPI number 1629992524 was assigned on August 5, 2026 and the record was last updated on August 5, 2026.

Alexia Jackson lists a license in the registry: #2601003099 (MI) 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 Alexia Dominique Jackson, LAT, ATC?

The NPI number is 1629992524.

What is the phone number of Alexia Jackson?

The phone number listed for the practice location is (517) 355-9710.

Where is Alexia Jackson located?

223 Kalamazoo St, East Lansing, MI 48824-5400.

What is the taxonomy code for Alexia Jackson?

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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