Individual
JORDYN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, AT-C
Contact information
Practice address
2400 MIAMI VALLEY DR # 160, CENTERVILLE, OH 45459-4774
(937) 312-1661
Mailing address
2007 MIRACLE MILE, SPRINGFIELD, OH 45503-2836
(937) 450-4511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005307
OH
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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