Individual provider · Type 1 NPI

Jeffrey Charles Lake, ATC

Athletic Trainer · Irmo, SC

NPI number 1396669867 Active

Practice location

520 Newton Rd
Irmo, SC 29063-2948

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XATR1310ATH (SC)

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 1396669867

Jeffrey Charles Lake, ATC's National Provider Identifier is 1396669867, issued on Aug 7, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Irmo, SC. The record was last updated on Aug 7, 2026.