JORDAN OBERBRECKLING

FAYETTE, IA
NPI1194147975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  001066)
Enumeration Date2014-01-13
Last Update Date2014-01-13
Business Address
-- JORDAN OBERBRECKLING ATC, LAT
605 WASHINGTON ST
FAYETTE, IA 52142-9206
Phone number: 319-480-6191
Mailing Address
-- JORDAN OBERBRECKLING ATC, LAT
108 S OAK ST
WYOMING, IA 52362-7793
Phone number: 319-480-6191