Individual
JORDAN HOLZFASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 W ELM ST, TIPP CITY, OH 45371-1615
(937) 539-3551
Mailing address
20 W ELM ST, TIPP CITY, OH 45371-1615
(937) 539-3551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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