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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN NICOLAS BENNETT

Active Sole Proprietor

JONATHAN NICOLAS BENNETT is a Athletic Trainer healthcare provider located in ROANOKE, Virginia. NPI 1790644334 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ROANOKE, VA

Registration Details

NPI Number
1790644334
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2026 (0.57411310834811 yrs)
Last Updated
Jan 20, 2026
Sole Proprietor
Yes

Practice Information

Address
7248 OLD MOUNTAIN RD
ROANOKE, VA, 240195117
Browse VA providers · Browse ZIP 24019
Phone
8143418701
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ROANOKE, VA

Name Credential NPI
MR. CHRISTOPHER CLAY DAKE ATC 1376572610
TENNILLE MORALES GREGA ATC 1659642411
ROBERT SETH CRAWFORD ATC 1417228289
MRS. KELLY ANN CREASEY ATC 1225303076
MATTHEW NELSON 1003245986
JESSICA SILER ATC, LAT 1255713640
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.