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

Individual provider Athletic Trainer · NPI 1063920965

Mark Lawrence Hibbard is an Athletic Trainer in Jackson, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

120 W Pearl Ave
Jackson, WY 83002
Phone: (307) 734-9129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063920965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2018
Last updated in NPPESJanuary 14, 2018