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

Jordan Nicholas Hanscom

Individual provider Athletic Trainer · NPI 1609573716

Jordan Nicholas Hanscom is an Athletic Trainer in Dayton, Ohio. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

515 W Grand Ave Apt 4L
Dayton, OH 45405-4453
Phone: (207) 723-1478
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1609573716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address515 W Grand Ave Apt 4l, Dayton, OH 45405-4453

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