NPI 1104856624

Jeb M Burns, ATC

Practitioner Athletic Trainer San Jose, CA

Practice location

Address: One Washington Square, San Jose, CA 95192-0001
Phone: (408) 924-1256
Mailing address: 4872 Speak Ln, San Jose, CA 95118-3712

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in California →

Registry record

NPI: 1104856624
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2006
Record last updated: 8 Jul 2007

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.