Individual
JASON MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
3602 HARWELL LAKE RD, WEATHERFORD, TX 76088-8748
(817) 341-5000
Mailing address
2048 REDEMPTION DR, WEATHERFORD, TX 76088-6417
(940) 886-6704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4197
TX
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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