Provider Demographics
NPI:1578928065
Name:BONNELL, CHRISTOPHER (MED, AT, ATC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:BONNELL
Suffix:
Gender:M
Credentials:MED, AT, ATC
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:BONNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, AT, ATC
Mailing Address - Street 1:4545 TREEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-4300
Mailing Address - Country:US
Mailing Address - Phone:513-735-2818
Mailing Address - Fax:
Practice Address - Street 1:7400 CORNELL RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-686-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT. 0028442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer