Individual
JARED PAUL BONACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1257 LAKE PLAZA DR STE 130, COLORADO SPRINGS, CO 80906-7304
(920) 948-6370
Mailing address
6310 ROCKY BLUFF PT APT 201, COLORADO SPRINGS, CO 80918-6247
(920) 948-6370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002652
CO
Other
Enumeration date
06/11/2021
Last updated
10/30/2025
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