Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey Anothony Bonacci, DA, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043368335

Dr. Jeffrey Anothony Bonacci, DA, ATC is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1696 N Stardust Ln
Fayetteville, AR 72701-2883
Phone: (479) 575-4112
Fax: (479) 575-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence AT 267 (AR)

Record details

NPI number1043368335
Entity typeIndividual (Type 1)
GenderMale
Credentials DA , ATC
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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