Individual
ELLIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1322 N RUTHERFORD BLVD APT C18, MURFREESBORO, TN 37130-8420
(615) 568-8644
Mailing address
8052 POWELLS CHAPEL ROAD, MURFREESBORO, TN 37129-8420
(615) 568-8644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2797
TN
Other
Enumeration date
03/02/2020
Last updated
10/07/2022
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