NPI 1134574932

Jonathan Reidy, LATATC

Practitioner Athletic Trainer Winston Salem, NC

Practice location

Address: Medical Center Blvd, Winston Salem, NC 27103
Phone: (336) 408-2776
Mailing address: 30 Richardson Pl, Agawam, MA 01001-3438

Registered specialties (2)

Athletic Trainer Primary

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

Other Specialist/Technologist providers in North Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in North Carolina →

Registry record

NPI: 1134574932
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2016
Record last updated: 29 Jun 2018

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.