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JORDAN LIGHT
NPI 1114305620
Specialist/Technologist - Athletic Trainer in Wilmore, KY

Active since May 16, 2015
1 MACKLEM DR, WILMORE, KY 40390(360) 773-0106 Get Directions Write a Review

NPPES record last updated: May 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Light NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LIGHT (NPI 1114305620) is an individual athletic trainer provider in Wilmore, Kentucky, licensed in Kentucky (AT1174) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1114305620
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN LIGHT
Location Address1 MACKLEM DRWilmore, KY 40390-1152
Mailing Address1 Macklem DrWilmore, KY 40390-1152
Phone(360) 773-0106
Sole ProprietorNo
Enumeration DateMay 16, 2015
✔ NPI 1114305620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in KY · AT1174
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1 MACKLEM DR, Wilmore, KY 40390
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASBURY UNIVERSITY
Physical Therapist
1 MACKLEM DR
WILMORE, KY 40390
Jessamine County (859) 858-3511
DR. MONICA COX RAY MD
Family Medicine
1 MACKLEM DR
WILMORE, KY 40390
Jessamine County (859) 858-3511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Light's NPI number?

The NPI number for Jordan Light is 1114305620. It was assigned to this individual provider in the NPPES registry on May 16, 2015.

Where is Jordan Light located?

Jordan Light practices at 1 Macklem Dr, Wilmore, KY 40390. The listed phone number is (360) 773-0106.

What is Jordan Light's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jordan Light was last updated on May 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.