NPI 1639166432

Jeremy M Ainsworth, MSATC

Practitioner Athletic Trainer Monmouth, OR

Practice location

Address: 221 Main St E, Monmouth, OR 97361-2240
Phone: (503) 838-4244
Fax: (503) 838-4442
Mailing address: 12698 Kings Valley Hwy, Monmouth, OR 97361-9551

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-1000092 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1639166432
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2005
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.