Jared Bonack, MS, LAT, ATC

NPI 1992373484 · on the registry since 2021

Practice

Address: 1257 Lake Plaza Dr Ste 130
Colorado Springs, CO 80906
Phone: (920) 948-6370
Organisation at this address: Carolina Medical Solutions
Reverie Counseling Of Colorado Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado