Jordan Kelly Weitzell, MAT, LAT, ATC

NPI #1134622129 in Plymouth, Indiana

Provider Information

NPI Number
1134622129
Entity Type
Individual
Name
Jordan Kelly Weitzell, MAT, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MAT, LAT, ATC
Enumeration Date
Mar 15, 2018
Last Updated
Mar 15, 2018

Practice Location

Address
1919 LAKE AVE
State
Indiana
ZIP Code
46563-7830
Phone
(574) 948-4800

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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