Provider Demographics
NPI:1184845281
Name:JONES, DONNA JOYCE (LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JOYCE
Last Name:JONES
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10328 COTTONTAIL LN.
Mailing Address - Street 2:
Mailing Address - City:IOLA
Mailing Address - State:TX
Mailing Address - Zip Code:77861
Mailing Address - Country:US
Mailing Address - Phone:936-394-2628
Mailing Address - Fax:979-458-2874
Practice Address - Street 1:TEXAS A&M UNIVERSITY 100 OLSON BLVD
Practice Address - Street 2:ATHLETIC DEPRTMENT
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77842-3017
Practice Address - Country:US
Practice Address - Phone:979-862-2532
Practice Address - Fax:979-458-2874
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT05952255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer