Individual
JORDAN PAIGE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC; LAT; MAT; MS
Contact information
Practice address
300 W KIEST BLVD, DALLAS, TX 75224-3402
(214) 375-7682
Mailing address
6401 MAPLE AVE APT 4103, DALLAS, TX 75235-5537
(901) 574-9971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9393
TX
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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