IndividualActive
Travis Jackson, ATC-L
NPI 1528345212 · Athletic Trainer · Smithfield, UT
Provider details
- NPI number
- 1528345212
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC-L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6852418-4810 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 E 630 N Apt 20
Smithfield, UT 84335-9670
Phone: (435) 760-1767
Street-level locationGet directions
Mailing address
101 E 630 N Apt 20
Smithfield, UT 84335-9670
Registry dates
- Enumerated
- 2011-11-08
- Last updated
- 2011-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.