Individual
JONATHAN ANTHONY POMATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28880 W 335TH ST, OSAWATOMIE, KS 66064-4198
(913) 731-7432
Mailing address
28880 W 335TH ST, OSAWATOMIE, KS 66064-4198
(913) 731-7432
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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