Jordan M Bush, ATC, LAT

NPI #1366894719 in Newberry, Florida

Provider Information

NPI Number
1366894719
Entity Type
Individual
Name
Jordan M Bush, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jul 11, 2016
Last Updated
Jul 11, 2016

Practice Location

Address
400 SW 258TH ST
State
Florida
ZIP Code
32669-4112
Phone
(315) 777-1323

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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