NPI 1194147975

Jordan Oberbreckling, ATCLAT

Practitioner Athletic Trainer Fayette, IA

Practice location

Address: 605 Washington St, Fayette, IA 52142-9206
Phone: (319) 480-6191
Mailing address: 108 S Oak St, Wyoming, IA 52362-7793

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001066 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1194147975
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2014
Record last updated: 13 Jan 2014

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.