Individual
JONATHAN MATHEW PAUL BONNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6565 FOXRIDGE DR APT 1051, MISSION, KS 66202-1393
(913) 605-2528
(913) 605-2528
Mailing address
5007 BROADMOOR ST APT 127, MISSION, KS 66202-1462
(913) 605-2528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1416172
KS
376K00000X
Nurse's Aide
197780
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197780
NURSE AIDE REGISTRY
KS
Enumeration date
07/28/2017
Last updated
11/22/2022
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