Jared Paul Bonack, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1992373484
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1992373484
- Entity type
- Individual (NPI-1)
- Name
- Jared Paul Bonack
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT.0002652 | CO | Yes |
Practice location
1257 Lake Plaza Dr Ste 130Colorado Springs, CO 80906-7304
Phone 920-948-6370
Mailing address
6310 Rocky Bluff Pt Apt 201Colorado Springs, CO 80918-6247
Phone 920-948-6370
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All 89 Athletic Trainer providers in Colorado Springs · All 25,904 providers in Colorado Springs
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