Jordan Derrick
Jordan Derrick is an Athletic Trainer in Lubbock, Texas. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
6312 73rd St Apt 1510Lubbock, TX 79424-1955
Phone: (940) 597-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1013457373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2017 |
| Last updated in NPPES | March 6, 2017 |
| Mailing address | 6312 73rd St, Apt 1510, Lubbock, TX 79424-1955 |
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