Jordan Light
Jordan Light is an Athletic Trainer in Wilmore, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.
- Licensed in
- KY
- In the registry since
- 2015
Practice location Address checks out
1 Macklem DrWilmore, KY 40390-1152
Phone: (360) 773-0106
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT1174 (KY) |
|---|
Record details
| NPI number | 1114305620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2015 |
| Last updated in NPPES | May 16, 2015 |
| Mailing address | 1 Macklem Dr, Wilmore, KY 40390-1152 |