Individual
JORDAN ELIZABETH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 TIGER BLVD, LAWRENCEBURG, IN 47025-1608
(812) 537-7200
Mailing address
218 6TH ST, LAWRENCEBURG, IN 47025-1621
(513) 365-8101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002546A
IN
2255A2300X
Athletic Trainer
AT004855
OH
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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