Individual
MR. JORDAN SHAEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC-LAT
Contact information
Practice address
820 CHESTNUT ST, 115 JASON HALL, JEFFERSON CITY, MO 65101-3537
(573) 681-5331
Mailing address
820 CHESTNUT ST, 115 JASON HALL, JEFFERSON CITY, MO 65101-3537
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013024976
MO
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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