Jonathan Michael Wall
Athletic Trainer · Fairfax, VA
NPI number
1093665440
Practice location
13298c Blueberry Ln Apt 103Fairfax, VA 22033-4864
- Phone
- (703) 993-8350
NPI record
- NPI
- 1093665440
- Entity type
- Individual (Type 1)
- Enumeration date
- February 3, 2026
- Last updated
- February 3, 2026
- Certified
- February 3, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Jonathan Wall
Jonathan Michael Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 13298c Blueberry Ln Apt 103, Fairfax, VA 22033-4864. The NPI number 1093665440 was assigned on February 3, 2026 and the record was last updated on February 3, 2026.
Frequently asked questions
What is the NPI number of Jonathan Michael Wall?
The NPI number is 1093665440.
What is the phone number of Jonathan Wall?
The phone number listed for the practice location is (703) 993-8350.
Where is Jonathan Wall located?
13298c Blueberry Ln Apt 103, Fairfax, VA 22033-4864.
What is the taxonomy code for Jonathan Wall?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
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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