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

Individual provider Athletic Trainer · NPI 1073157699

Jordin Ashlee Brouhard, ATC is an Athletic Trainer in Shawnee, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2019.

Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

13847 W 63rd St Ste 2
Shawnee, KS 66216-3800
Phone: (913) 962-7770
Fax: (913) 962-7775
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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 24-01036 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence 2019032147 (MO)

Record details

NPI number1073157699
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

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