Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan M Bush, ATC, LAT

Individual provider Athletic Trainer · NPI 1366894719

Jordan M Bush, ATC, LAT is an Athletic Trainer in Newberry, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

400 SW 258th St
Newberry, FL 32669-4112
Phone: (315) 777-1323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL 4544 (FL)

Record details

NPI number1366894719
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016

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