Jordan Ellis
Jordan Ellis is an Athletic Trainer in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5814 S 105th StOmaha, NE 68127-2909
Phone: (402) 321-6867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1891239901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 8, 2016 |
| Last updated in NPPES | December 8, 2016 |
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