Jason Mann, LAT
Specialist/Technologist, Athletic Trainer in Weatherford, TX. Individual provider (NPI-1).
NPI number1639950454
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1639950454
- Entity type
- Individual (NPI-1)
- Name
- Jason Mann
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2023
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT4197 | TX | Yes |
Practice location
3602 Harwell Lake RdWeatherford, TX 76088-8748
Phone 817-341-5000
Mailing address
2048 Redemption DrWeatherford, TX 76088-6417
Phone 940-886-6704
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