Jonathan Michael Wall
Jonathan Michael Wall is an Athletic Trainer in Fairfax, Virginia. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
13298C Blueberry Ln Apt 103Fairfax, VA 22033-4864
Phone: (703) 993-8350
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1093665440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2026 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
| Mailing address | 13298c Blueberry Ln Apt 103, Fairfax, VA 22033-4864 |
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