Individual
JACK ANDREW NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, ROT, OBT
Contact information
Practice address
7500 QUIVIRA RD, SHAWNEE, KS 66216-3502
(913) 687-8585
Mailing address
10806 W 91ST ST, OVERLAND PARK, KS 66214-2035
(913) 687-8585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2017034150
MO
2255A2300X
Athletic Trainer
Primary
24-01233
KS
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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