NPI 1013639202

Jason Kofoot, MAATC

Practitioner Athletic Trainer Grinnell, IA

Practice location

Address: 1201 10th Ave, Grinnell, IA 50112-1200
Phone: (641) 269-3808

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1013639202
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2022
Record last updated: 14 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.