Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDON WEISE, LAT,ATC
ActiveJORDON WEISE, LAT,ATC is a Athletic Trainer healthcare provider located in ETOWAH, Tennessee. NPI 1770989204 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ETOWAH, TN
Registration Details
- NPI Number
- 1770989204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2014 (11.721204440165 yrs)
- Last Updated
- Aug 7, 2015
- License
-
1926 (TN)
Practice Information
- Address
-
878 HIGHWAY 411 NETOWAH, TN, 373311912Browse TN providers · Browse ZIP 37331
- Phone
- 4232637070
- Fax
- 4232637077
- 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.