Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDIN ASHLEE BROUHARD, ATC
ActiveAthletic Trainer · SHAWNEE, KS
Registration Details
- NPI Number
- 1073157699
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2019 (6.496130576285 yrs)
- Last Updated
- Nov 6, 2019
- Licenses
-
2019032147 (MO)24-01036 (KS)
Practice Information
- Address
-
13847 W 63RD ST STE 2SHAWNEE, KS, 662163800Browse KS providers · Browse ZIP 66216
- Phone
- 9139627770
- Fax
- 9139627775
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SHAWNEE, KS
| Name | Credential | NPI |
|---|---|---|
| SHERRY S DORO | ATC-L | 1891769642 |
| CLINT MCALISTER | ATC, CSCS | 1003168402 |
| ELIZABETH KRAWCZYK | MHR, LAT, ATC | 1164889150 |
| JACK ANDREW NATION | LAT, ATC, ROT, OBT | 1851802714 |
| KAITLYN NICOLE JACKMAN | — | 1124598792 |
| CHELSEA ANN CRAIG | ATC | 1326606856 |
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.