Provider Demographics
NPI:1013129097
Name:SANTINI, JON ARTHUR JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:ARTHUR
Last Name:SANTINI
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 LANTERN LN
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-2126
Mailing Address - Country:US
Mailing Address - Phone:614-873-1317
Mailing Address - Fax:614-873-5616
Practice Address - Street 1:220 LANTERN LN
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-2126
Practice Address - Country:US
Practice Address - Phone:614-873-1317
Practice Address - Fax:614-873-5616
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0009532255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer