JORDAN WILT

INDEPENDENCE, KY
NPI1316798556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1863)
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
JORDAN WILT
11132 MADISON PIKE
INDEPENDENCE, KY 41051-7523
Phone number: 859-960-0100
Mailing Address
JORDAN WILT
313 CROSS ST
ELSMERE, KY 41018-2106
Phone number:
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