Individual
JORDAN FAITH MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W UNIVERSITY BLVD # 106, CEDAR CITY, UT 84720-2418
(435) 865-8354
Mailing address
668 E FIDDLERS COVE DR UNIT 52, CEDAR CITY, UT 84721-9768
(270) 872-9501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
14152266-4810
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000056553
BOC
—
Enumeration date
08/23/2023
Last updated
11/07/2024
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