Individual provider · Type 1 NPI
Amy B. Jordan, ATC, LAT
Specialist · Mansfield, OH
NPI number
1902860794
Active
Practice location
2525 W 4th St
Mansfield, OH 44906-1208
Mailing address
2229 Bethany Ln
Marion, OH 43302-8365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT-1591 (OH) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Mansfield
About NPI 1902860794
Amy B. Jordan, ATC, LAT's National Provider Identifier is 1902860794, issued on Apr 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mansfield, OH. The record was last updated on Jul 13, 2026.