Jensen Plata, BS, ATC

NPI #1699278341 in Wadsworth, Illinois

Provider Information

NPI Number: 1699278341
Entity Type: Individual
Name: Jensen Plata, BS, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BS, ATC
Enumeration Date: Mar 8, 2018
Last Updated: May 23, 2019

Practice Location

Address: 14265 W SHELLEY LN
City: Wadsworth
State: Illinois
ZIP Code: 60083-9550
Phone: (847) 989-2377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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