Individual
JORDAN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
3354 CHARGER DR, CHATTANOOGA, TN 37409-1265
(423) 265-6411
Mailing address
3354 CHARGER DR, CHATTANOOGA, TN 37409-1265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000027315
NATA BOARD OF CERTIFICATION
TN
01
—
2220
STATE OF TN DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
07/12/2017
Last updated
05/10/2022
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