Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moonsung Jo, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1023469129

Moonsung Jo, MS, ATC, LAT is an Athletic Trainer in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona and Oregon.

Licensed in
AZ, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

2510 W Rio Salado Pkwy
Mesa, AZ 85201-3603
Phone: (617) 755-4569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1488 (AZ)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-AT-10171243 (OR)

Record details

NPI number1023469129
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorYes
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 29, 2016

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