Individual provider · Type 1 NPI

Jackson Coleman Tidwell

Athletic Trainer · Lubbock, TX

NPI number 1407708654 Active

Practice location

7402 93rd St
Lubbock, TX 79424-4940

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XNone listed

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 1407708654

Jackson Coleman Tidwell's National Provider Identifier is 1407708654, issued on Feb 11, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Lubbock, TX. The record was last updated on Feb 11, 2026.