Individual
JORDAN LEWIS SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5061 CLEMENT AVE, MAPLE HEIGHTS, OH 44137-1317
(216) 571-1079
Mailing address
5061 CLEMENT AVE, MAPLE HEIGHTS, OH 44137-1317
(216) 571-1079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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