Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Soukenik, ATC

Individual provider Athletic Trainer · NPI 1760830475

Jack Soukenik, ATC is an Athletic Trainer in Mantua, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4707 Mill St
Mantua, OH 44255-8934
Phone: (330) 274-2747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT.004731 (OH)

Record details

NPI number1760830475
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016

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