Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN RENELLE, MS, ATC
ActiveMR. JONATHAN RENELLE, MS, ATC is a Athletic Trainer healthcare provider located in CLARK, New Jersey. NPI 1053589093 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CLARK, NJ
Registration Details
- NPI Number
- 1053589093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2008 (18.459306089864 yrs)
- Last Updated
- Feb 12, 2008
- License
-
25MT00140600 (NJ)
Practice Information
- Address
-
365 WESTFIELD AVECLARK, NJ, 070661706Browse NJ providers · Browse ZIP 07066
- Phone
- 7323820910
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CLARK, NJ
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA HUANG | ATC | 1720443005 |
| MS. JENNIFER LYNN STAUTZ | ATC | 1053940700 |
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.