NPI 1851802714

Jack Andrew Nation, LATATCROTOBT

Practitioner Athletic Trainer Shawnee, KS

Practice location

Address: 7500 Quivira Rd, Shawnee, KS 66216-3502
Phone: (913) 687-8585
Mailing address: 10806 W 91st St, Overland Park, KS 66214-2035

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-01233 (KS)

Other Specialist/Technologist providers in Kansas →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2017034150 (MO)

Registry record

NPI: 1851802714
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2017
Record last updated: 18 Oct 2017

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.