NPI 1063969848

John Davis, ATCLAT

Practitioner Athletic Trainer Ames, IA

Practice location

Address: 1800 S 4th St Jacobson Building, Ames, IA 50011-1142
Phone: (515) 294-6315
Mailing address: 117 NE 46th Ln Unit 4, Ankeny, IA 50021-8115

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 079840 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1063969848
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2016
Record last updated: 8 Sep 2016

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.