Individual provider · Type 1 NPI

Jim Raynor, ATC

Athletic Trainer · Springfield, MO

NPI number 1073504783 Active

Practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Call (417) 820-7990 Map

Mailing address

5329 S Ferguson Ave
Springfield, MO 65810-2597

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X109104 (MO)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1073504783

Jim Raynor, ATC's National Provider Identifier is 1073504783, issued on Nov 2, 2005. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Springfield, MO. The record was last updated on Jul 13, 2026.