Individual
JASON DAVID HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 295TH AVE, FORT ATKINSON, IA 52144-7448
(563) 412-9928
Mailing address
1445 295TH AVE, FORT ATKINSON, IA 52144-7448
(563) 412-9928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
132981
IA
Other
Enumeration date
08/09/2023
Last updated
05/28/2025
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