Individual
SHAWNA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
409 HIGHLAND RIDGE DR, MANHATTAN, KS 66503-8766
(785) 776-7929
Mailing address
409 HIGHLAND RIDGE DR, MANHATTAN, KS 66503-8766
(785) 776-7929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2400133
KS
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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