Individual
JORDYN DANIELLE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 N GRAND AVE, TAHLEQUAH, OK 74464-2301
(918) 456-5511
Mailing address
5431 N 12TH ST, LINCOLN, NE 68521-4490
(402) 853-2796
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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