Individual provider · Type 1 NPI

Alexia Dominique Jackson, LAT, ATC

Athletic Trainer · East Lansing, MI

NPI number 1629992524 Active

Practice location

223 Kalamazoo St
East Lansing, MI 48824-5400

Call (517) 355-9710 Map

Mailing address

3127 Trappers Cove Trl Apt 2C
Lansing, MI 48910-8478

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X2601003099 (MI)

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 1629992524

Alexia Dominique Jackson, LAT, ATC's National Provider Identifier is 1629992524, issued on Aug 5, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in East Lansing, MI. The record was last updated on Aug 5, 2026.