Healthcare Provider Details

I. General information

NPI: 1457283087
Provider Name (Legal Business Name): JASON J DAYTON LAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13399 W COAL MINE AVE
LITTLETON CO
80127-5401
US

IV. Provider business mailing address

13760 W 7TH AVE
GOLDEN CO
80401-4523
US

V. Phone/Fax

Practice location:
  • Phone: 303-982-1970
  • Fax:
Mailing address:
  • Phone: 303-570-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT.0001049
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: