Jackie Henry
Athletic Trainer · Rathdrum, ID
Practice location
6749 W Eden CtRathdrum, ID 83858-6423
- Phone
- (208) 687-2156
NPI record
- NPI
- 1639136351
- Entity type
- Individual (Type 1)
- Enumeration date
- April 27, 2006
- Last updated
- July 13, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT-258 | ID |
About Jackie Henry
Jackie Henry is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6749 W Eden Ct, Rathdrum, ID 83858-6423. The NPI number 1639136351 was assigned on April 27, 2006 and the record was last updated on July 13, 2026.
Jackie Henry lists a license in the registry: #AT-258 (ID) 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 Jackie Henry?
The NPI number is 1639136351.
What is the phone number of Jackie Henry?
The phone number listed for the practice location is (208) 687-2156.
Where is Jackie Henry located?
6749 W Eden Ct, Rathdrum, ID 83858-6423.
What is the taxonomy code for Jackie Henry?
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.