NPI 1023668019

Jonathan Wilson, MAEDATCLATCSCS

Practitioner Athletic Trainer Jackson, TN

Practice location

Address: 1050 Union University Dr # 1811, Jackson, TN 38305-3656
Phone: (731) 661-5307

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1999 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1023668019
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2019
Record last updated: 12 Sep 2019

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.