Individual provider · Type 1 NPI

Jensen Plata, BS, ATC

Student in an Organized Health Care Education/Training Program · Wadsworth, IL

NPI number 1699278341 Active

Practice location

14265 W Shelley Ln
Wadsworth, IL 60083-9550

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X2000035573 (IL)
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699278341

Jensen Plata, BS, ATC's National Provider Identifier is 1699278341, issued on Mar 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wadsworth, IL. The record was last updated on May 23, 2019.