Individual
KATHERINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
4909 EL CAMPO AVE APT D, FORT WORTH, TX 76107-4910
(817) 944-0545
Mailing address
4909 EL CAMPO AVE APT D, FORT WORTH, TX 76107-4910
(817) 944-0545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
STUDENT
TX
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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