NPI 1013438209

Jordan Corley, LATATC

Practitioner Athletic Trainer Beaumont, TX

Practice location

Address: 5250 Bayou Willow Dr, Beaumont, TX 77705-7054
Phone: (409) 658-5230
Mailing address: 2039 Dowlen Rd APT 2, Beaumont, TX 77706-3345

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT6026 (TX)

Other Specialist/Technologist providers in Texas →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI: 1013438209
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.