Individual
JORDAN BART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 S 70TH ST STE 200, LINCOLN, NE 68510-2471
(402) 488-3322
Mailing address
1801 S 42ND ST, LINCOLN, NE 68506-1112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
634
NE
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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