MR. Jason Michael Graham, ATC, LAT

NPI #1023316932 in Clive, Iowa

Provider Information

NPI Number
1023316932
Entity Type
Individual
Name
MR. Jason Michael Graham, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 2, 2011
Last Updated
Jun 2, 2021

Practice Location

Address
12499 UNIVERSITY AVE STE 210
City
Clive
State
Iowa
ZIP Code
50325-8288
Phone
(515) 240-2676

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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