Individual
JONATHAN DANIEL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
1427 THISTLEWOOD LN, GRAPEVINE, TX 76051-4991
(719) 229-8358
Mailing address
1427 THISTLEWOOD LN, GRAPEVINE, TX 76051-4991
(719) 229-8358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2004
TX
Other
Enumeration date
09/25/2013
Last updated
01/21/2022
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