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

JORDAN WILT

Active

JORDAN WILT is a Athletic Trainer healthcare provider located in INDEPENDENCE, Kentucky. NPI 1316798556 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · INDEPENDENCE, KY

Registration Details

NPI Number
1316798556
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2024 (2.2021565251537 yrs)
Last Updated
Mar 27, 2024
License
AT1863 (KY)

Practice Information

Address
11132 MADISON PIKE
INDEPENDENCE, KY, 410517523
Browse KY providers · Browse ZIP 41051
Phone
8599600100
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in INDEPENDENCE, KY

Name Credential NPI
WILLIAM SCOTT BREEZE ATC 1023122884
SHERI KAY UTZ ATC, MS 1336369511
NICHOLE LEE GRIERSON ATC 1134333420
ERICA LANHAM 1396185500
MR. JOSEPH HACKER III ATC, MED, CSCS 1376993204
SAMANTHA DUNCAN ATC 1396239356
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.