NPI 1073157699

Jordin Ashlee Brouhard, ATC

Practitioner Athletic Trainer Shawnee, KS

Practice location

Address: 13847 W 63rd St STE 2, Shawnee, KS 66216-3800
Phone: (913) 962-7770
Fax: (913) 962-7775
Mailing address: 6397 Lee Hwy STE 300, Chattanooga, TN 37421-4915

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-01036 (KS)

Other Specialist/Technologist providers in Kansas →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2019032147 (MO)

Registry record

NPI: 1073157699
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2019
Record last updated: 6 Nov 2019

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.