Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON MICHAEL GRAHAM, ATC, LAT
ActiveMR. JASON MICHAEL GRAHAM, ATC, LAT is a Athletic Trainer healthcare provider located in CLIVE, Iowa. NPI 1023316932 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CLIVE, IA
Registration Details
- NPI Number
- 1023316932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2011 (15.660629615138 yrs)
- Last Updated
- Jun 2, 2021
- License
-
24-00667 (KS)
Practice Information
- Address
-
12499 UNIVERSITY AVE STE 210CLIVE, IA, 503258288Browse IA providers · Browse ZIP 50325
- Phone
- 5152402676
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CLIVE, IA
| Name | Credential | NPI |
|---|---|---|
| MEREDITH DIERKS | — | 1821484395 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.