Individual
JORDAN TAYLOR STIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15103 E 41ST ST S, INDEPENDENCE, MO 64055-4116
(816) 206-4185
Mailing address
4011 S CEDAR CREST DR APT 123, INDEPENDENCE, MO 64055-7616
(816) 206-4185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019027648
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/21/2019
Last updated
02/19/2020
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