IndividualActive
Aeneas Jackson
NPI 1336096080 · Athletic Trainer · Chattanooga, TN
Provider details
- NPI number
- 1336096080
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
3905 Kemp Cir
Chattanooga, TN 37411-2913
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.