Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WEST
Active Sole ProprietorJORDAN WEST is a Athletic Trainer healthcare provider located in CAYUGA, Indiana. NPI 1033563846 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CAYUGA, IN
Registration Details
- NPI Number
- 1033563846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2016 (10.301011832922 yrs)
- Last Updated
- Jun 14, 2018
- License
-
36002984A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 SOUTH LOGAN STREETCAYUGA, IN, 47928Browse IN providers · Browse ZIP 47928
- Phone
- 7654924898
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.