Lashaunta Jones, AT, ATC
Individual provider Active NPI Athletic Trainer · Wilberforce, OH
NPI 1194147991 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1194147991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT-2478 (OH)
- Practice address
- 1400 Brush Row Rd
Wilberforce, OH 45384-5800 - Phone
- (937) 376-6617
- Fax
- (937) 376-6040
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-2478 | OH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-2478 | OH | Yes |
Addresses
Primary practice location
1400 Brush Row Rd
Wilberforce, OH 45384-5800
Mailing address
47 Rockland Dr
Fairborn, OH 45324-4329
Phone (937) 376-6617
Other providers in Wilberforce, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.