Brendon Michael Jonsson, MS, ATC, LAT
Specialist/Technologist, Athletic Trainer in Lumberton, NC. Individual provider (NPI-1).
NPI number1518332162
StatusActive
Last updated in NPPESDec 8, 2015
Details
- NPI
- 1518332162
- Entity type
- Individual (NPI-1)
- Name
- Brendon Michael Jonsson
- Credential
- MS, ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2015
- Last updated
- Dec 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | LAT-2399 | NC | Yes |
Practice location
4901 Dawn DrSuite 2300
Lumberton, NC 28360-8287
Phone 910-738-1065
Mailing address
4901 Dawn DrSuite 2300
Lumberton, NC 28360-8287
Phone 910-738-1065
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