Individual
MR. JORDAN SCOTT SMUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(812) 855-1561
Mailing address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001904A
IN
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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