NPI 1316798556

Jordan Wilt

Practitioner Athletic Trainer Independence, KY

Practice location

Address: 11132 Madison Pike, Independence, KY 41051-7523
Phone: (859) 960-0100
Mailing address: 313 Cross St, Elsmere, KY 41018-2106

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT1863 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1316798556
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2024
Record last updated: 27 Mar 2024

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.