Individual
JONATHAN BOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT/L ATC
Contact information
Practice address
300 W HAWTHORNE RD, SPOKANE, WA 99251-2515
(509) 777-3728
Mailing address
300 W HAWTHORNE RD, SPOKANE, WA 99251-2515
(509) 777-3728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160045727
WA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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