Individual provider · Type 1 NPI

Jonathan Michael Wall

Athletic Trainer · Fairfax, VA

NPI number 1093665440 Active

Practice location

13298C Blueberry Ln Apt 103
Fairfax, VA 22033-4864

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1093665440

Jonathan Michael Wall's National Provider Identifier is 1093665440, issued on Feb 3, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fairfax, VA. The record was last updated on Feb 3, 2026.