JORDAN GONZALES, ATC, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1154708626
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 830 (OK) |
Frequently Asked Questions
NPI 1154708626 is the National Provider Identifier for JORDAN GONZALES, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in Tahlequah, OK. This NPI was enumerated on May 4, 2015.
JORDAN GONZALES, ATC, LAT practices at 603 N GRAND AVE, Tahlequah, OK 74464.
Quick Facts
- NPI
- 1154708626
- Type
- Individual
- Enumerated
- May 4, 2015
- Last Updated
- May 4, 2015
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