MR. Jason Todd Adolph, MS, LAT ATC

NPI #1255390266 in Shorewood, Illinois

Provider Information

NPI Number
1255390266
Entity Type
Individual
Name
MR. Jason Todd Adolph, MS, LAT ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT ATC
Enumeration Date
Mar 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
972 BROOK FOREST AVE
ZIP Code
60431-8807
Phone
(815) 439-4938

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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