Individual
JORDAN WILLIAM WHITSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
Mailing address
4640 E 54TH ST APT 339, SIOUX FALLS, SD 57110-4454
(712) 348-4045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0627
SD
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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