MR. Jason Clifford Halverson, MA, ATC, CSCS

NPI #1396954004 in Bolivar, Missouri

Provider Information

NPI Number
1396954004
Entity Type
Individual
Name
MR. Jason Clifford Halverson, MA, ATC, CSCS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA, ATC, CSCS
Enumeration Date
May 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1600 UNIVERSITY AVE
ZIP Code
65613-2578
Phone
(417) 328-2070

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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