Moonsung Jo, MS, ATC, LAT
Athletic Trainer · Mesa, AZ
Practice location
2510 W Rio Salado PkwyMesa, AZ 85201-3603
- Phone
- (617) 755-4569
NPI record
- NPI
- 1023469129
- Entity type
- Individual (Type 1)
- Enumeration date
- June 29, 2016
- Last updated
- June 29, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
1488 | AZ |
| Athletic Trainer | 2255A2300X |
AT-AT-10171243 | OR |
About Moonsung Jo
Moonsung Jo, MS, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2510 W Rio Salado Pkwy, Mesa, AZ 85201-3603. The NPI number 1023469129 was assigned on June 29, 2016 and the record was last updated on June 29, 2016.
Moonsung Jo lists 2 licenses in the registry: #1488 (AZ) for Athletic Trainer; #AT-AT-10171243 (OR) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Moonsung Jo, MS, ATC, LAT?
The NPI number is 1023469129.
What is the phone number of Moonsung Jo?
The phone number listed for the practice location is (617) 755-4569.
Where is Moonsung Jo located?
2510 W Rio Salado Pkwy, Mesa, AZ 85201-3603.
What is the taxonomy code for Moonsung Jo?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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