JORDAN KELLY WEITZELL

PLYMOUTH, IN
NPI1134622129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
JORDAN KELLY WEITZELL MAT, LAT, ATC
1919 LAKE AVE
PLYMOUTH, IN 46563-7830
Phone number: 574-948-4800
Mailing Address
JORDAN KELLY WEITZELL MAT, LAT, ATC
1371 HOLLOWAY DR
PLYMOUTH, IN 46563-3174
Phone number: 641-751-1416