Individual
MR. JONATHAN ISAAC WIMBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
16302 LOOP 493, LUBBOCK, TX 79423-7805
(806) 863-7015
Mailing address
16302 LOOP 493, LUBBOCK, TX 79423-7805
(806) 863-7015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3892
TX
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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