SearchIndiana2255A2300X

Jordan Shown, ATC, LAT

NPI 1124569199 · on the registry since 2017

Practice

Address
1509 Bluestem Dr
Greenwood, IN 46143
Phone
(317) 509-6438

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana