Individual
JONATHAN BLAKE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2300 HIGHLAND RD, BATESVILLE, AR 72501-3629
(870) 307-7330
Mailing address
2300 HIGHLAND RD, BATESVILLE, AR 72501-3629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT519
AR
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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