IndividualActive
Beau Jenkins, ATC/LAT
NPI 1265830632 · Athletic Trainer · Senatobia, MS
Provider details
- NPI number
- 1265830632
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC/LAT
- Sex
- Male
- Sole proprietor
- No
- License
- AT0535 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Northwest Plz
164
Senatobia, MS 38668-1746
Phone: (662) 812-1168
Approximate (ZIP-level) locationGet directions
Mailing address
2714 W Oxford Loop
Oxford, MS 38655-5711
Registry dates
- Enumerated
- 2014-12-16
- Last updated
- 2014-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.