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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDIN ASHLEE BROUHARD, ATC

Active

JORDIN ASHLEE BROUHARD, ATC is a Athletic Trainer healthcare provider located in SHAWNEE, Kansas. NPI 1073157699 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SHAWNEE, KS

Registration Details

NPI Number
1073157699
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2019 (6.9744339575911 yrs)
Last Updated
Nov 6, 2019
Licenses
2019032147 (MO)
24-01036 (KS)

Practice Information

Address
13847 W 63RD ST STE 2
SHAWNEE, KS, 662163800
Browse 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.