Jordan Moehn, MS, LAT, ATC
NPI #1184150021 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1184150021
- Entity Type
- Individual
- Name
- Jordan Moehn, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- May 11, 2017
- Last Updated
- Aug 7, 2018
Practice Location
- Address
- 633 PRAIRIE PKWY
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935
- Phone
- (920) 539-5417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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